Pub Date : 2025-12-22DOI: 10.1177/26893614251404047
David A Shaye, Rui Han Liu, Jennifer Shehan, Minjee Kim, Travis T Tollefson
Background: Patients undergoing nasal reconstruction with the paramedian forehead flap (PMFF) can lead to scalp hair transfer and brow distortion. To minimize this, we have adopted the low median forehead flap (LMFF). Objectives: To compare the hypothetical flap reach of the LMFF with the PMFF and measure flap viability and hair transfer amongst patients undergoing nasal reconstruction. Materials and Methods: A multi-institutional retrospective chart review of patients undergoing the LMFF collected demographics, flap viability, brow distortion, and hair transfer. Photograph measurements compared the hypothetic flap reach between an LMFF or PMFF design. Results: Eighty patients (mean age 65 ± 13 [SD] years, 56.3% female) met inclusion after LMFF for nasal defects, mostly from skin cancer resection (93.8%) involving the tip (67.1%) and ala (73.4%); with ≥3 involved subunits (63.8%). Transferred scalp hair (n = 1, 1.3%), and no flap compromise occurred. In photograph analysis, the LMFF showed an 11.6% increase in flap reach as compared to the PMFF (p < 0.0001). Intra-rater and inter-rater variances were nonsignificant. Conclusions: The LMFF is a viable modification to the PMFF for nasal reconstruction, especially in patients with short hairline and/or distal nasal tip/alar defects where increased flap reach and minimal hair transfer are desired.
{"title":"Low Median Forehead Flap for Nasal Reconstruction: An Effective Modification to the Paramedian Forehead Flap.","authors":"David A Shaye, Rui Han Liu, Jennifer Shehan, Minjee Kim, Travis T Tollefson","doi":"10.1177/26893614251404047","DOIUrl":"https://doi.org/10.1177/26893614251404047","url":null,"abstract":"<p><p><b>Background:</b> Patients undergoing nasal reconstruction with the paramedian forehead flap (PMFF) can lead to scalp hair transfer and brow distortion. To minimize this, we have adopted the low median forehead flap (LMFF). <b>Objectives:</b> To compare the hypothetical flap reach of the LMFF with the PMFF and measure flap viability and hair transfer amongst patients undergoing nasal reconstruction. <b>Materials and Methods:</b> A multi-institutional retrospective chart review of patients undergoing the LMFF collected demographics, flap viability, brow distortion, and hair transfer. Photograph measurements compared the hypothetic flap reach between an LMFF or PMFF design. <b>Results:</b> Eighty patients (mean age 65 ± 13 [SD] years, 56.3% female) met inclusion after LMFF for nasal defects, mostly from skin cancer resection (93.8%) involving the tip (67.1%) and ala (73.4%); with ≥3 involved subunits (63.8%). Transferred scalp hair (<i>n</i> = 1, 1.3%), and no flap compromise occurred. In photograph analysis, the LMFF showed an 11.6% increase in flap reach as compared to the PMFF (<i>p</i> < 0.0001). Intra-rater and inter-rater variances were nonsignificant. <b>Conclusions:</b> The LMFF is a viable modification to the PMFF for nasal reconstruction, especially in patients with short hairline and/or distal nasal tip/alar defects where increased flap reach and minimal hair transfer are desired.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851150","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}
Pub Date : 2025-12-22DOI: 10.1177/26893614251406261
Greg Thurlow, Nick L Hill, Claire Potter, Hannah Jones, Lauren Shelvey, Jeremy Corcoran
{"title":"Exploring the Relationship Between Perceived Benefit and Somatic and Social Outcomes Following Neuromuscular Retraining for Facial Synkinesis.","authors":"Greg Thurlow, Nick L Hill, Claire Potter, Hannah Jones, Lauren Shelvey, Jeremy Corcoran","doi":"10.1177/26893614251406261","DOIUrl":"https://doi.org/10.1177/26893614251406261","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858375","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}
Pub Date : 2025-12-22DOI: 10.1177/26893614251395737
Angela Renne, Jeffrey Heaton, Adeeb Derakhshan, Jason C Nellis, Shaun C Desai, Kofi D O Boahene
Background: Oral-ocular synkinesis is a frequent sequela of idiopathic facial paralysis (IFP), yet objective, dynamic methods to quantify associated palpebral fissure changes remain limited. Objective: To objectively measure palpebral changes in IFP using automated facial tracking. Design Type: Case-control. Methods: A novel, video-based facial tracking software assessed facial expressions in 12 controls and 30 IFP cases with synkinesis at least 12 months from onset of IFP. Palpebral fissure dimensions were measured at rest and during smile, laugh, and pucker. Bilateral differences across expressions were analyzed using Wilcoxon signed-rank, Kruskal-Wallis, and linear regression. Results: Puckering showed the greatest asymmetry (p < 0.001), with a 30.0% reduction in palpebral fissure size on the paralyzed side versus 21.6% on the non-paralyzed side, compared to a 1.7% reduction in controls. No significant differences were observed between paralyzed and non-paralyzed sides during rest-to-smile or rest-to-laugh expressions. Dynamic modeling found that puckering elicited the fastest and largest decline in palpebral fissure symmetry (slope = -0.196; standard error: 0.011; p < 0.001). Paralysis duration following 12 months had no significant effect on palpebral fissure changes. Conclusion: Dynamic facial tracking effectively quantifies expression-specific disruptions in oral-ocular coordination in IFP, particularly during puckering, offering objective data to support treatment planning and patient counseling.
{"title":"Use of Dynamic, Automated Facial Analysis in Quantifying Oral-Ocular Synkinesis.","authors":"Angela Renne, Jeffrey Heaton, Adeeb Derakhshan, Jason C Nellis, Shaun C Desai, Kofi D O Boahene","doi":"10.1177/26893614251395737","DOIUrl":"https://doi.org/10.1177/26893614251395737","url":null,"abstract":"<p><p><b>Background:</b> Oral-ocular synkinesis is a frequent sequela of idiopathic facial paralysis (IFP), yet objective, dynamic methods to quantify associated palpebral fissure changes remain limited. <b>Objective:</b> To objectively measure palpebral changes in IFP using automated facial tracking. <b>Design Type:</b> Case-control. <b>Methods:</b> A novel, video-based facial tracking software assessed facial expressions in 12 controls and 30 IFP cases with synkinesis at least 12 months from onset of IFP. Palpebral fissure dimensions were measured at rest and during smile, laugh, and pucker. Bilateral differences across expressions were analyzed using Wilcoxon signed-rank, Kruskal-Wallis, and linear regression. <b>Results:</b> Puckering showed the greatest asymmetry (<i>p</i> < 0.001), with a 30.0% reduction in palpebral fissure size on the paralyzed side versus 21.6% on the non-paralyzed side, compared to a 1.7% reduction in controls. No significant differences were observed between paralyzed and non-paralyzed sides during rest-to-smile or rest-to-laugh expressions. Dynamic modeling found that puckering elicited the fastest and largest decline in palpebral fissure symmetry (slope = -0.196; standard error: 0.011; <i>p</i> < 0.001). Paralysis duration following 12 months had no significant effect on palpebral fissure changes. <b>Conclusion:</b> Dynamic facial tracking effectively quantifies expression-specific disruptions in oral-ocular coordination in IFP, particularly during puckering, offering objective data to support treatment planning and patient counseling.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858394","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}
Pub Date : 2025-12-22DOI: 10.1177/26893614251398868
Lauren A Gardiner, Matthew Q Miller
{"title":"<i>Invited Commentary on:</i> \"Selective Neurectomy Outcomes in Patients with Synkinesis: The First 56 Consecutive Primary Cases with Minimum 1 Year Follow-Up,\" by Ozucer and Yilmaz.","authors":"Lauren A Gardiner, Matthew Q Miller","doi":"10.1177/26893614251398868","DOIUrl":"https://doi.org/10.1177/26893614251398868","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858360","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}
Pub Date : 2025-12-22DOI: 10.1177/26893614251404008
Nneoma S Wamkpah, Jon-Paul Pepper
{"title":"<i>Invited Commentary on:</i> \"Use of Dynamic, Automated Facial Analysis in Quantifying Oral-Ocular Synkinesis,\" by Renne et al.","authors":"Nneoma S Wamkpah, Jon-Paul Pepper","doi":"10.1177/26893614251404008","DOIUrl":"https://doi.org/10.1177/26893614251404008","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858412","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}
Pub Date : 2025-12-22DOI: 10.1177/26893614251406255
Carley Boyce, Colleen F Cecola, Aimee Galatas, Sara MacDowell, Laura T Hetzler
{"title":"Longitudinal Outcomes Assessment: Eight Years of a Facial Nerve Disorders Multidisciplinary Clinic.","authors":"Carley Boyce, Colleen F Cecola, Aimee Galatas, Sara MacDowell, Laura T Hetzler","doi":"10.1177/26893614251406255","DOIUrl":"https://doi.org/10.1177/26893614251406255","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858391","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}
Pub Date : 2025-12-22DOI: 10.1177/26893614251409793
Daniel J Konig, Angad S Sidhu, George S Corpuz
{"title":"Looksmaxxing: Straddling the Inflection Between Self-Enhancement and Self-Harm.","authors":"Daniel J Konig, Angad S Sidhu, George S Corpuz","doi":"10.1177/26893614251409793","DOIUrl":"https://doi.org/10.1177/26893614251409793","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858351","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}
Pub Date : 2025-12-22DOI: 10.1177/26893614251409803
Jiayi Chen
{"title":"<i>Letter:</i> The Letter to the Editor Regarding \"Association Between Symptoms of Body Dysmorphia and Social Media Usage: A Cross-Generational Comparison\".","authors":"Jiayi Chen","doi":"10.1177/26893614251409803","DOIUrl":"https://doi.org/10.1177/26893614251409803","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858354","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}
Pub Date : 2025-12-22DOI: 10.1177/26893614251408806
Yadranko Ducic, Austin J LaBanc
{"title":"<i>Response to \"Letter:</i> The Data in \"Hyperbaric Oxygen Effects on Surgical Outcomes in Mandibular Osteoradionecrosis Requiring Segmental Resection and Free Tissue Transfer\" by Leblanc et al. Do Not Support the Conclusions Made.\"","authors":"Yadranko Ducic, Austin J LaBanc","doi":"10.1177/26893614251408806","DOIUrl":"https://doi.org/10.1177/26893614251408806","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858380","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}
Pub Date : 2025-12-22DOI: 10.1177/26893614251408420
Elaine Silverman, Jay C Buckey
{"title":"<i>Letter:</i> The Data in \"Hyperbaric Oxygen Effects on Surgical Outcomes in Mandibular Osteoradionecrosis Requiring Segmental Resection and Free Tissue Transfer\" by Leblanc et al. Do Not Support the Conclusions Made.","authors":"Elaine Silverman, Jay C Buckey","doi":"10.1177/26893614251408420","DOIUrl":"https://doi.org/10.1177/26893614251408420","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858445","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}
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