2016
DOI: 10.1001/jamafacial.2016.0817
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Measurement of the Quality of Facial Lesion Reconstruction With Observer-Graded Affect Display

Abstract: IMPORTANCEThe impact of facial reconstructive surgery on improving affect display for patients with facial lesions is incompletely understood.OBJECTIVES To measure the impact of surgically reconstructing facial lesions on observer graded affect display. DESIGN, SETTING, AND PARTICIPANTSThis was a prospective randomized controlled experiment at an academic tertiary referral center; 120 naïve observers completed one of 4 surveys of 20 images of faces. MAIN OUTCOMES AND MEASURESA total of 80 different images of f… Show more

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Cited by 7 publications
(14 citation statements)
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“…10 Reconstruction of facial defects improves perceived attractiveness, 12 decrease negative facial perception, 12 and normalize patient affect display. 14 Casual observers perceive individuals with facial defects as having a lower health utility and quality of life, a penalty that is normalized in many cases after reconstruction. 13 Furthermore, members of society are less likely to engage and have a conversation with people with facial defects, a social penalty that improved after reconstructive surgery.…”
Section: Discussionmentioning
confidence: 99%
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“…10 Reconstruction of facial defects improves perceived attractiveness, 12 decrease negative facial perception, 12 and normalize patient affect display. 14 Casual observers perceive individuals with facial defects as having a lower health utility and quality of life, a penalty that is normalized in many cases after reconstruction. 13 Furthermore, members of society are less likely to engage and have a conversation with people with facial defects, a social penalty that improved after reconstructive surgery.…”
Section: Discussionmentioning
confidence: 99%
“…There are numerous outcome measures described in the facial plastic and reconstructive surgery literature. These can be organized by method (subjective [8][9][10][11][12][13][14][15][16][17][18] or objective [19][20][21][22][23][24][25] ) and perspective (patient, [16][17][18] surgeon or expert, 15,24,25 or society [8][9][10][11][12][13][14][19][20][21][22][23] ). Each of these 6 classes (subjective patient, objective patient, subjective expert, objective expert, subjective society, and objective society) of outcome metrics has utility in the complex assessment of facial deformities and their reconstruction.…”
mentioning
confidence: 99%
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“…Traumatic deformities resulting in abnormal concavities and convexities of the face often draw unwanted attention and can be misperceived by others, generating emotional distress. 4 Soft tissue contouring defects may be due to tissue lost/contraction, malposition due to disruption of soft tissue suspension, or fat involution. The senior author (T.T.T.)…”
Section: Soft Tissuementioning
confidence: 99%
“…20,21,23,24 Further, these eye movement aberrations correlated with changes in observer perception in the domains of attractiveness, QOL, and affect. 23,[25][26][27][28][29] We can correlate these findings to thyroid neck scars, where understanding the basis for why observers perceive patients with thyroid neck scars differently on social metrics of attractiveness, QOL, and overall neck appearance requires a clearer understanding of where observers direct their attention when making these assessments.…”
Section: Introductionmentioning
confidence: 99%