Evidence map›Paper›PMID 39294468›Full record

ArticleAesthetic plastic surgery2024

The Type I+ Forehead in Facial Feminization Surgery.

Shahrzad Moghadam, Kaavian Shariati, Kelly X Huang, Madeline G Chin, Jonnby S LaGuardia, Meiwand Bedar, Sumun Khetpal, Brendan J Cronin, Justine C Lee

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Aesthetic plastic surgery, 2024. 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
–field-weighted citation impact
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.

  1. Article
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

9 authors.

Shahrzad MoghadamDivision of Plastic and Reconstructive Surgery, David Geffen School of Medicine, University of California, 200 Medical Plaza Suite 460, Los Angeles, CA, 90095-6960, USA.
Kaavian ShariatiDivision of Plastic and Reconstructive Surgery, David Geffen School of Medicine, University of California, 200 Medical Plaza Suite 460, Los Angeles, CA, 90095-6960, USA.
Kelly X HuangDivision of Plastic and Reconstructive Surgery, David Geffen School of Medicine, University of California, 200 Medical Plaza Suite 460, Los Angeles, CA, 90095-6960, USA.
Madeline G ChinDivision of Plastic and Reconstructive Surgery, David Geffen School of Medicine, University of California, 200 Medical Plaza Suite 460, Los Angeles, CA, 90095-6960, USA.
Jonnby S LaGuardiaDivision of Plastic and Reconstructive Surgery, David Geffen School of Medicine, University of California, 200 Medical Plaza Suite 460, Los Angeles, CA, 90095-6960, USA.
Meiwand BedarDivision of Plastic and Reconstructive Surgery, David Geffen School of Medicine, University of California, 200 Medical Plaza Suite 460, Los Angeles, CA, 90095-6960, USA.
Sumun KhetpalDivision of Plastic and Reconstructive Surgery, David Geffen School of Medicine, University of California, 200 Medical Plaza Suite 460, Los Angeles, CA, 90095-6960, USA.
Brendan J CroninDivision of Plastic and Reconstructive Surgery, David Geffen School of Medicine, University of California, 200 Medical Plaza Suite 460, Los Angeles, CA, 90095-6960, USA.
Justine C LeeDivision of Plastic and Reconstructive Surgery, David Geffen School of Medicine, University of California, 200 Medical Plaza Suite 460, Los Angeles, CA, 90095-6960, USA. justine@ucla.edu.ORCID 0000-0002-8943-0837

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
PRECLINICAL EVALUATION OF NANOPARTICULATE MINERALIZED COLLAGEN GLYCOSAMINOGLYCAN MATERIALS IN CALVARIAL REGENERATIONR01DE028098 · NIDCR · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LEE, JUSTINE CHIA · 2019 to 2023
$1.9M
Osteoclast modulatory biomaterials for skull regenerationR01DE029234 · NIDCR · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LEE, JUSTINE CHIA · 2020 to 2024
$1.9M
NCATS NIH HHS UL1 TR001881NCATS NIH HHS UL1TR001881NIDCR NIH HHS R01 DE028098NIDCR NIH HHS R01 DE029234
6 · The paper itself

Abstract

backgroundFeminizing fronto-orbital reconstruction involves one of four possibilities with the Ousterhout Type III anterior table frontal sinus osteotomy and setback performed in most patients while the Type I reduction recontouring is reserved for patients without frontal sinuses or thick anterior tables. However, patients with frontal sinuses and either a moderately thick anterior table or a shallow frontal sinus in the sagittal plane represent an intermediate morphology. For such morphologies, we introduce the novel Type I+ fronto-orbital reconstruction technique, consisting of frontal bone recontouring supplemented with anterior table reconstruction and split cranial bone graft.

methodsTransgender and gender non-conforming patients who underwent Type I+ or Type III feminizing fronto-orbital reconstruction (2019-2023) were included for retrospective review and comparison of techniques.

resultsIn the 123 patients (mean age 32.2 ± 9.5 years) included, 6.5% underwent Type I+ and 94.5% underwent Type III feminizing fronto-orbital reconstruction. Morphologically, Type I+ patients displayed a shallower frontal sinus compared to Type III patients (median anterior to posterior table depth 4.1[interquartile range, IQR, 1.1-5.0] versus 9.8[IQR 7.5-12.0]mm, p<0.001). At the maximum prominence, Type I+ patients also demonstrated thicker anterior tables compared to Type III patients (median 6.6[IQR 5.0-8.8] versus 2.2[IQR 0.4-4.7]mm, p=0.001). Patients receiving Type I+ procedures underwent an anterior table reduction of 2.7±1.2mm versus 4.2 ± 1.2mm for Type III procedures in the sagittal plane (p=0.002).

conclusionsThe current work introduces a novel solution to an intermediate frontal sinus phenotype for gender-affirming facial feminization surgery. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

ForeheadFrontal BoneFrontal SinusGender-Affirming SurgeryOrbitPlastic Surgery ProceduresAdultEstheticsFemaleFeminizationHumansMaleOsteotomyRetrospective StudiesTransgender PersonsTreatment OutcomeFacial feminization surgeryFacial gender-affirming surgeryFeminizing forehead reconstructionGender-affirming facial surgery

Identifiers

PMID39294468
PMCPMC11739238

What OpenQuestion holds

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Registered trials

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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.