Evidence map›Paper›PMID 40938410›Full record

ArticleAesthetic plastic surgery2026

Textbook-Ultrasound-Cadaver: A Three-Step Learning Method in Facial Botulinum Toxin Type A Injection.

Yi-Xuan Zhang, Yi-Xin Sun, Shuang Liang, Guo-Jing Chang, Zhen Chen, Bing-Han Wang, Lin Jin, Hui-Ying Gao, Nan-Ze Yu, Xiao Long

Abstract read
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In one paragraph

Article in Aesthetic plastic surgery, 2026. 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. Review
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.

Yi-Xuan Zhang *Department of Plastic and Aesthetic Surgery, Union Medical College Hospital (Xidan Campus), Chinese Academy of Medical Sciences and Peking Union Medical College, No. 41 of Damucang Alley, District Xicheng, PekingBeijing, 100032, China.
Yi-Xin Sun *Center for Plastic and Reconstructive Surgery, Department of Plastic and Reconstructive Surgery, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.
Shuang Liang *Department of Plastic and Aesthetic Surgery, Union Medical College Hospital (Xidan Campus), Chinese Academy of Medical Sciences and Peking Union Medical College, No. 41 of Damucang Alley, District Xicheng, PekingBeijing, 100032, China.
Guo-Jing ChangDepartment of Plastic and Aesthetic Surgery, Union Medical College Hospital (Xidan Campus), Chinese Academy of Medical Sciences and Peking Union Medical College, No. 41 of Damucang Alley, District Xicheng, PekingBeijing, 100032, China.
Zhen ChenDepartment of Anatomy, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Bing-Han WangDepartment of Plastic and Aesthetic Surgery, Union Medical College Hospital (Xidan Campus), Chinese Academy of Medical Sciences and Peking Union Medical College, No. 41 of Damucang Alley, District Xicheng, PekingBeijing, 100032, China.
Lin JinDepartment of Plastic and Aesthetic Surgery, Union Medical College Hospital (Xidan Campus), Chinese Academy of Medical Sciences and Peking Union Medical College, No. 41 of Damucang Alley, District Xicheng, PekingBeijing, 100032, China.
Hui-Ying GaoDepartment of Plastic and Aesthetic Surgery, Union Medical College Hospital (Xidan Campus), Chinese Academy of Medical Sciences and Peking Union Medical College, No. 41 of Damucang Alley, District Xicheng, PekingBeijing, 100032, China.
Nan-Ze YuDepartment of Plastic and Aesthetic Surgery, Union Medical College Hospital (Xidan Campus), Chinese Academy of Medical Sciences and Peking Union Medical College, No. 41 of Damucang Alley, District Xicheng, PekingBeijing, 100032, China. yunanze@pumch.cn.
Xiao LongDepartment of Plastic and Aesthetic Surgery, Union Medical College Hospital (Xidan Campus), Chinese Academy of Medical Sciences and Peking Union Medical College, No. 41 of Damucang Alley, District Xicheng, PekingBeijing, 100032, China. pumclongxiao@126.com.

Funding

Education and Teaching reform project of Graduate in Peking Union Medical College 2024YJSJG001Peking Union Medical College EducationPeking Union Medical College Teaching reform project of Graduate in Peking Union Medical College (2024yjsjg001)
6 · The paper itself

Abstract

backgroundFacial botulinum toxin type A injections are among the most common procedures in the field of aesthetic surgery. However, this procedure requires practitioners to have a comprehensive understanding of the anatomical distribution of facial muscles.

objectivesTo aid young physicians in mastering facial botulinum toxin injections methodically, a three-step learning approach that integrates anatomical atlases, ultrasound imaging, and cadaver dissection-termed the Textbook-Ultrasound-Cadaver method-was implemented.

methodsOver a 1-year period, four training sessions were conducted, involving 115 young clinicians. The training combined didactic lectures on facial anatomy, hands-on ultrasound examinations, and cadaver dissection with injection simulation. Participants rated their understanding of facial muscle anatomy before and after the training, as well as their overall satisfaction with the course.

resultsParticipants' self-rated understanding of facial anatomy increased from 6.5 ± 2.7 to 8.9 ± 1.8 points after the training. Course satisfaction was high at 9.2 ± 2.1 points.

conclusionsThe Textbook-Ultrasound-Cadaver method provides a structured approach to learning facial botulinum toxin injections, integrating key anatomical knowledge with practical imaging and hands-on training. LEVEL OF EVIDENCE III: 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

Botulinum Toxins, Type AFacial MusclesInjections, IntramuscularNeuromuscular AgentsSurgery, PlasticAdultCadaverCosmetic TechniquesFemaleHumansMaleTextbooks as TopicUltrasonographyBotulinum Toxins, Type ANeuromuscular AgentsBotulinum toxin type AFacial injectionTextbook-Ultrasound-Cadaver method

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Textmetadata
Read underepoch 390

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.