The Naso-Orbito-Frontal (NOF) Complex In Facial Feminization Surgery.
Plast Reconstr Surg
; 2024 Jun 04.
Article
en En
| MEDLINE
| ID: mdl-38857444
ABSTRACT
BACKGROUND:
With the increasing demand for facial feminization surgery, there is a growing need for reliable and reproducible techniques to enhance outcomes.OBJECTIVE:
This study aimed to evaluate the effectiveness of single-stage Naso-Orbito-Frontal (NOF) complex reshaping in facial feminization surgery. Effectiveness was gauged by CT scan assessments and an unvalidated patient satisfaction survey at 6 months post-operative.METHODS:
The study included 155 transfeminine patients undergoing surgery of the upper third of the face. Outcomes were compared in patients receiving either Orbito-Frontal (OF) surgery or combined Naso-Orbito-Frontal (NOF) surgery. A comparative analysis of pre- and postoperative standardized CT scan sections was performed, focusing on multiple anatomic angles in two dimensions. A self-administered satisfaction questionnaire based on six FACE-Q items was completed at 6 months.RESULTS:
Among the 155 patients, 65 underwent OF surgery, and 90 underwent NOF surgery. The follow-up period ranged from 6 to 36 months, with an average of 18 months. Significant changes in craniometric measurements were observed in the OF group, average changes in nasofrontal, frontal tilt, and metopion angles were +12.3±0.2°, -8.5±2.2°, and +20.0±0.1° respectively (p<0.001); in the NOF group, same metrics were +28.5±0.3°, -9.3±2.4°, and +23.9±0.1° (p<0.001). The NOF group demonstrated higher overall satisfaction (Median 4/5) compared to the OF group (Median 3/5). No early complications were reported.CONCLUSION:
The NOF complex surgery is an effective approach in gender-affirming surgery of the upper third of the face, yielding predictable results and higher patient satisfaction.Level of Evidence 3.
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Bases de datos:
MEDLINE
Idioma:
En
Revista:
Plast Reconstr Surg
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos