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Facial Feedback Hypothesis01:24

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Charles Darwin proposed that facial expressions are an evolutionary adaptation for communication. He argued that these expressions are not influenced by culture but are universal across species. For example, a snarling expression with exposed teeth signals a threat in many animals, including humans. Darwin also suggested that displaying an emotion can intensify the feeling. Smiling, for example, could enhance one's sense of happiness. This idea laid the foundation for understanding the role...
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Midface Hypoplasia and Cranial Base Morphology in Syndromic Craniosynostosis: A Comparative Analysis Study Using a Predictive Regression Model
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Internal Distraction Resulted in Improved Patient-Reported Outcomes for Midface Hypoplasia.

David I Hindin1, Corbin E Muetterties2, Justine C Lee2

  • 1Division of Plastic and Reconstructive Surgery, Temple University Hospital, Philadelphia, PA.

The Journal of Craniofacial Surgery
|November 15, 2017
PubMed
Summary
This summary is machine-generated.

Midface hypoplasia correction using internal versus external distraction devices yielded similar appearance and functional results. However, patients with internal devices reported higher satisfaction with quality of life and their treatment decision.

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Area of Science:

  • Craniofacial surgery
  • Orthognathic surgery
  • Patient-reported outcomes

Background:

  • Midface hypoplasia is often corrected using internal or external distraction devices.
  • While surgical techniques may be similar, the choice between internal and external devices lacks comparative patient-reported outcome data.

Purpose of the Study:

  • To compare patient-reported outcomes between internal and external distraction devices for midface hypoplasia correction.
  • To evaluate differences in quality of life, functional status, and satisfaction.

Main Methods:

  • A comparative study surveyed 64 patients undergoing Le Fort I or III distraction advancement.
  • Patients completed the FACE-Q survey and a functional survey.
  • Data included demographics, surgical details, and complications.

Main Results:

  • Consolidation times differed significantly (internal: 3.6 months vs. external: 1.1 months).
  • Both groups reported similar improvements in appearance and function (airway, vision, eating, speech).
  • Internal device patients reported significantly higher satisfaction with quality of life, psychological well-being, and decision/outcome satisfaction.

Conclusions:

  • Internal and external distraction devices offer comparable aesthetic and functional improvements for midface hypoplasia.
  • Internal devices are associated with greater patient satisfaction regarding quality of life and treatment decisions.