Though anecdotally linked, few studies have investigated the impact of facial paralysis on depression and quality life (QOL).To measure association between depression, QOL, in patients seeking treatment at a plastic surgery clinic.Data were prospectively collected for with all-cause control initially presenting to clinic from 2013 2015. The group included heterogeneous patient population evaluation. Patients who had prior reanimation or missing demographic psychometric data excluded...

Body dysmorphic disorder (BDD) is underrecognized and underdetected among patients undergoing facial plastic reconstructive surgery. Patients with BDD require psychiatric care, not cosmetic surgery.To measure the prevalence of in a surgery clinic, to validate Dysmorphic Disorder Questionnaire (BDDQ) that setting, assess feasibility implementing standardized process for identifying accurately busy clinical practice, comorbidity BDD, depression, anxiety our patient population.We performed...

Objectives/Hypothesis Objectively measure the ability of facial reanimation surgery to normalize appearance paralysis using eye‐tracking technology. Study Design Prospective randomized controlled experiment. Methods An eye‐tracker system was used record eye‐movement patterns, called scanpaths, 86 naïve observers gazing at pictures paralyzed faces (House‐Brackmann IV–VI), smiling and in repose; before after surgery; as well normal, nonparalyzed faces. Observers gazed each face for 10 seconds....

Objectives To measure the attentional distraction to facial paralysis deformity using eye‐tracking, and distinguish between attention paid upper lower divisions in patients with complete paralysis. We hypothesized that features affected by would distract casual observer, leading an altered pattern of as compared normals. Study Design Randomized controlled experiment. Methods Sixty observers viewed images paralyzed faces (House‐Brackmann [HB] IV–VI) normal smiling repose. The SMI iView X RED...

The authors declare no conflicts of interest.

Determine the effect of facial reanimation surgery on observer-graded attractiveness and negative perception patients with paralysis.Randomized controlled experiment.Ninety observers viewed images paralyzed faces, smiling in repose, before after surgery, as well normal comparison faces. Observers rated each face characterized faces by rating severity, disfigured/bothersome, importance to repair. Iterated factor analysis indicated these highly correlated variables measure a common domain, so...

To date, there have been no studies attempting to measure the multidimensional impact of facial lesions, before and after reconstruction, on social conversation.To direct lesions surgical reconstruction.Prospective randomized controlled experiment at an academic tertiary referral center. One hundred twenty casual observers viewed images faces with varying sizes locations reconstruction as well without (normal faces) for comparison.Observers rated using a battery metrics, including how...

The interaction between patient- and observer-perceived quality of life (QOL) facial paralysis–related disability the resulting effect these interactions on social perception are incompletely understood. To measure associations QOL patient-perceived in patients with paralysis. This prospective study an academic tertiary referral center included 84 naive observers who viewed static dynamic images faces unilateral, House-Brackmann grades IV to VI paralysis (n = 16) demographically matched...

Objectives/Hypothesis Measure the impact of facial defect reconstruction on observer‐graded attractiveness and negative perception. Study Design Prospective, randomized, controlled experiment. Methods One hundred twenty casual observers viewed images faces with defects varying sizes locations before after as well normal comparison faces. Observers rated attractiveness, severity, how disfiguring, bothersome, important to repair they considered each face. Results Facial decreased −2.26 (95%...

Differences in perception of facial paralysis among patients, casual observers, and experts may have implications for outcomes research patient care.To compare multiple domains observer expert with the actual experience patients permanent unilateral paralysis.This investigation was a prospective cohort study conducted at an academic tertiary referral center. Patients (House-Brackmann grades IV to VI) were randomly selected from The Johns Hopkins University Division Facial Plastic...

The impact of facial defects on quality life as perceived by society and the value places reconstruction are important outcomes measures. To measure health state utility dollar surgically reconstructing society. A randomized observational study conducted in an academic tertiary referral center using a socioeconomically diverse group 200 casual observers. Observers viewed images faces with varying sizes locations before after surgical reconstruction. imagined if defect each image were their...

Patients with facial paralysis are perceived negatively by society in a number of domains. Society's perception the health utility varying degrees and value places on reconstructive surgery for reanimation need to be quantified.To measure state paralysis, willingness pay (WTP) repair, subsequent as society.This prospective observational study conducted an academic tertiary referral center evaluated group 348 casual observers who viewed images faces unilateral 3 severity levels (low, medium,...

Preoperative assessment of nasal soft-tissue envelope (STE) thickness is an important component rhinoplasty that presently lacks validated tools.To measure and assess the distribution STE in a large patient population to determine if facial plastic surgery clinicians can predict based on visual examination nose.This retrospective review prospective 190 adult patients by 4 expert raters was conducted at academic tertiary referral center. The had high-resolution maxillofacial computed...

Objective measurement of where observers direct their attention to faces when searching for signs facial plastic surgery (FPS) is currently lacking.

Objective To evaluate the impact of facial lesions on affect display in patients as compared with individuals without lesions. Study Design Prospective randomized controlled experiment. Setting Academic tertiary referral center. Subjects and Methods Forty‐five normal observers viewed photographs faces repose repose. Observers classified normals using a survey containing choices primary emotions personal attributes. Latent class analysis was used to find unmeasured or “latent” classes....

To identify factors associated with treatment modality selection in acoustic neuromas.Prospective observational study.Tertiary care neurotology clinic.Data were prospectively collected from patients initially presenting to a tertiary clinic between 2013 and 2016. Patients who did not have magnetic resonance imaging (MRI), demographic, psychometric, or audiometric data excluded analysis.Demographic information, clinical symptoms, tumor characteristics, psychometric determine undergoing...

Objectively measuring how Mohs defect reconstruction changes casual observer attention has important implications for patients and facial plastic surgeons.To use eye-tracking technology to objectively measure the ability of normalize attention.This observational outcomes study was conducted at an academic tertiary referral center from January June 2016. An system used record 82 observers directed photographs 32 with defects varying sizes locations before after as well 16 control faces no...

Assess the ability of facial reanimation surgery to restore affect display in patients with severe paralysis.Survey healthy observers' perception change visage from preoperative postoperative state.Academic tertiary referral center.Observer graded display.Ninety naive observers completed a survey pictures paralyzed faces, smiling and repose, before after surgery, as well normal comparison faces. Observers characterized each face coded primary affects Derogatis Affects Balance Scale. Results...

Objectives To assess the outcomes of abdominal dermal‐fat grafting following superficial and total parotidectomy. Methods A retrospective chart review parotidectomy patients was performed. Patients were divided into four groups based on surgical extent status: (SP), with (SPg), (TP), (TPg). Complication rates operative times then compared between surgically matched (SP vs. SPg, TP TPg). Complications included graft necrosis, gustatory sweating, first‐bite syndrome, infection, hematoma,...

When able to identify facial paralysis, members of society regard individuals with paralysis differently. They perceive a decrease in attractiveness, more negative affect, and lower quality life. However, the ability lay people accurately presence has not yet been defined. To determine societal members' (1) varying degrees severity (2) localize defect on face. A prospective observational study conducted an academic tertiary referral center using group 380 casual observers was carried out....

Objectives/Hypothesis Use validated eye‐tracking technology to objectively measure 1) the attentional distraction of facial contour defects after superficial and total parotidectomy 2) changes in with abdominal dermal fat graft reconstruction. Methods Standardized frontal oblique images 16 patients who had undergone or without reconstruction; four normal controls were obtained. One hundred casual observers recruited view these images, gaze data collected using a Tobii Pro system. Gaze...