Evidence map›Paper›PMID 38085976›Full record

ArticlePlastic and reconstructive surgery2025

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

Dillan F Villavisanis, Clifford I Workman, Zachary D Zapatero, Giap H Vu, Stacey A Humphries, Daniel Y Cho, Jordan W Swanson, Scott P Bartlett, Anjan Chatterjee, Jesse A Taylor

Open access · greenAbstract read
In one paragraph

Article in Plastic and reconstructive surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Dillan F VillavisanisFrom the Division of Plastic and Reconstructive Surgery, Children's Hospital of Philadelphia.
Clifford I WorkmanPenn Center for Neuroaesthetics, Perelman School of Medicine at the University of Pennsylvania.
Zachary D ZapateroFrom the Division of Plastic and Reconstructive Surgery, Children's Hospital of Philadelphia.
Giap H VuFrom the Division of Plastic and Reconstructive Surgery, Children's Hospital of Philadelphia.
Stacey A HumphriesPenn Center for Neuroaesthetics, Perelman School of Medicine at the University of Pennsylvania.
Daniel Y ChoFrom the Division of Plastic and Reconstructive Surgery, Children's Hospital of Philadelphia.
Jordan W SwansonFrom the Division of Plastic and Reconstructive Surgery, Children's Hospital of Philadelphia.
Scott P BartlettFrom the Division of Plastic and Reconstructive Surgery, Children's Hospital of Philadelphia.
Anjan ChatterjeePenn Center for Neuroaesthetics, Perelman School of Medicine at the University of Pennsylvania.
Jesse A TaylorFrom the Division of Plastic and Reconstructive Surgery, Children's Hospital of Philadelphia.
Children's Hospital of Philadelphia · USUniversity of Pennsylvania · US

Funding

The good, the bad, and the different: Understanding stigma towards people with facial differencesF32DE029407 · NIDCR · UNIVERSITY OF PENNSYLVANIA · PI WORKMAN, CLIFFORD I. · 2019 to 2021
$208k
Division of Plastic & Reconstructive Surgery at the Childrenâs Hospital of Philadelphia NANational Institutes of Health Dental & Craniofacial Research F32DE029407NIDCR NIH HHS F32 DE029407Penn Center for Human Appearance NA
6 · The paper itself

Abstract

backgroundFacial areas attracting the most visual attention in hemifacial microsomia (HFM) are poorly understood. Furthermore, it is not clear whether and how visual attention changes from before surgery to after surgery. This study characterized layperson visual attention to before and after reconstruction HFM using eye-tracking technology.

methodsVisual fixations (Tobii Pro Nano) were recorded in 4 areas of interest from 60 participants completing 2 consecutive trials of 68 total images in each hemiface of 17 patients with HFM before and after orthognathic jaw reconstruction. Linear mixed effect models evaluated whether visual fixations were affected by surgical reconstruction. RESULTS A TOTAL OF: 47,354 visual fixations were captured over 120 trials within defined areas of interest. Linear mixed effect models revealed significantly decreased postoperative visual fixations in the mandible and chin region [before reconstruction, 716 (54.8%); after reconstruction, 591 (45.2%); 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 (before reconstruction, 11,350 [48.6%]; after reconstruction, 12,000 [51.4%]; β = 0.086, SE = 0.015, z = 5.664, P < 0.00001).

conclusionsFollowing 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 that postoperative improvement toward aesthetic normalcy may reduce visual attention to previously anomalous anatomy.

Indexed as

AttentionFixation, OcularGoldenhar SyndromeOrthognathic Surgical ProceduresAdolescentAdultEye-Tracking TechnologyFemaleHumansMalePlastic Surgery ProceduresProspective StudiesYoung Adult

Identifiers

PMID38085976
PMCPMC11150329
OpenAlexW4389608215

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.