Visual Attention Toward Patients with Hemifacial Microsomia Reconstruction: A Prospective Eye-Tracking Study.

Autor:	Villavisanis DF; Division of Plastic & Reconstructive Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA.; Penn Center for Neuroaesthetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA., Workman CI; Penn Center for Neuroaesthetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA., Zapatero ZD; Division of Plastic & Reconstructive Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA.; Penn Center for Neuroaesthetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA., Vu GH; Division of Plastic & Reconstructive Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA.; Penn Center for Neuroaesthetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA., Humphries SA; Penn Center for Neuroaesthetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA., Cho DY; Division of Plastic & Reconstructive Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA., Swanson JW; Division of Plastic & Reconstructive Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA., Bartlett SP; Division of Plastic & Reconstructive Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA., Chatterjee A; Penn Center for Neuroaesthetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA., Taylor JA; Division of Plastic & Reconstructive Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery [Plast Reconstr Surg] 2023 Dec 05. Date of Electronic Publication: 2023 Dec 05.
DOI:	10.1097/PRS.0000000000011237
Abstrakt:	Background: Facial areas attracting the most visual attention in Hemifacial Microsomia (HFM) are poorly understood. Further, it is not clear if and how visual attention changes from pre- to post-operatively. This study characterized layperson visual attention to pre- and post-reconstruction hemifacial microsomia (HFM) using eye-tracking technology. Methods: Visual fixations (Tobii Pro Nano) were recorded in four areas of interest from sixty participants completing two consecutive trials of 68 total images in each hemi-face of 17 patients with HFM pre- and post- orthognathic jaw reconstruction. Linear mixed effect models evaluated if visual fixations were affected by surgical reconstruction. Results: 47,354 visual fixations were captured over 120 trials within defined AOIs. Linear mixed effect models revealed significantly decreased postoperative visual fixations in the mandible and chin region [716 (54.8%) pre-reconstruction, 591 (45.2%) post reconstruction; β = -0.198, SE = 0.056, z = -3.550, p < 0.001]. Analysis also revealed significantly increased postoperative visual fixations in the forehead and orbit region [11350 (48.6%) pre-reconstruction, 12000 (51.4%) post-reconstruction; β = 0.086, SE = 0.015, z = 5.664, p < 0.00001]. Conclusions: Following corrective jaw surgery for HFM, laypersons demonstrated significantly less visual attention to the mandible and chin and increased visual attention to the forehead and orbit. These findings suggest postoperative improvement towards aesthetic normalcy may reduce visual attention to previously anomalous anatomy. (Copyright © 2023 by the American Society of Plastic Surgeons.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu