From Novel Facial Measurements to Facial Implantology: A Systematic Review.

Autor:	Baecher H; Department of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany., Scheiflinger A; Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA., Remy K; Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA, USA., Straub N; Department of Plastic Surgery, Medical Faculty Mannheim, Heidelberg University, Heidelberg, Germany., Maheta B; Department of Surgery, California Northstate University College of Medicine, Elk Grove, CA, USA., Sherwani K; Department of Surgery, Medical University of Vienna, Vienna, Austria., Deniz C; Craniologicum, Center for Cranio-Maxillo-Facial Surgery, Bern, Switzerland., Knoedler S; Department of Surgery, Division of Plastic Surgery, Yale School of Medicine, New Haven, CT, USA., Safi AF; Craniologicum, Center for Cranio-Maxillo-Facial Surgery, Bern, Switzerland.; Faculty of Medicine, University of Bern, Bern, Switzerland., Kauke-Navarro M; Department of Surgery, Division of Plastic Surgery, Yale School of Medicine, New Haven, CT, USA., Heiland M; Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Oral and Maxillofacial Surgery, Berlin, Germany., Knoedler L; Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Oral and Maxillofacial Surgery, Berlin, Germany.
Jazyk:	angličtina
Zdroj:	JPRAS open [JPRAS Open] 2024 Oct 17; Vol. 43, pp. 1-17. Date of Electronic Publication: 2024 Oct 17 (Print Publication: 2025).
DOI:	10.1016/j.jpra.2024.10.005
Abstrakt:	Background: Facial implants have emerged as pivotal tools for both reconstructive and aesthetic skull bone augmentation. Contemporary manufacturing techniques, such as computer-aided design and manufacturing (CAD-CAM) systems, have revolutionized facial implants production, providing the advantages of high-level individualization. However, the absence of standardized facial measurements complicates the ability to accurately compare outcomes across various techniques. This systematic review investigates the strengths and limitations of various facial measurements employed in facial implants, with a particular focus on their impact on aesthetic outcomes and potential complications. Methods: We identified 13 studies in our comprehensive search across PubMed/MEDLINE, Web of Science, EMBASE, and CENTRAL databases. Results: In total, 620 patients were included. The majority of the chosen studies focused on aesthetic purposes (69%). Primarily, mandibular (46%) or nasal regions (23%) were investigated, with porous polyethylene (31%), silicone (23%), and polyetheretherketone (23%) being the most utilized materials. Despite considerable heterogeneity in measurement approaches, including variations in reference points and angles, complications such as surgical site infections and nerve-related injuries were reported in the included studies. Conclusion: Our review highlights the importance of standardized facial analysis for optimal implant planning. Future research should prioritize the development of uniform measurement concepts tailored to diverse implant applications to enhance outcomes and patient satisfaction in facial implantation. Competing Interests: The authors declare no conflict of interest. (© 2024 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.)
Databáze:	MEDLINE
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