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

Copyright © 2023 by the American Society of Plastic Surgeons..

BACKGROUND: Facial areas attracting the most visual attention in Hemifacial Microsomia (HFM) are poorly understood. Further, it is not clear if and how visual attention changes from pre- to post-operatively. This study characterized layperson visual attention to pre- and post-reconstruction hemifacial microsomia (HFM) using eye-tracking technology.

METHODS: Visual fixations (Tobii Pro Nano) were recorded in four areas of interest from sixty participants completing two consecutive trials of 68 total images in each hemi-face of 17 patients with HFM pre- and post- orthognathic jaw reconstruction. Linear mixed effect models evaluated if visual fixations were affected by surgical reconstruction.

RESULTS: 47,354 visual fixations were captured over 120 trials within defined AOIs. Linear mixed effect models revealed significantly decreased postoperative visual fixations in the mandible and chin region [716 (54.8%) pre-reconstruction, 591 (45.2%) post reconstruction; 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 [11350 (48.6%) pre-reconstruction, 12000 (51.4%) post-reconstruction; β = 0.086, SE = 0.015, z = 5.664, p < 0.00001].

CONCLUSIONS: Following 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 postoperative improvement towards aesthetic normalcy may reduce visual attention to previously anomalous anatomy.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - year:2023

Enthalten in:

Plastic and reconstructive surgery - (2023) vom: 05. Dez.

Sprache:

Englisch

Beteiligte Personen:

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

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Date Revised 12.12.2023

published: Print-Electronic

Citation Status Publisher

doi:

10.1097/PRS.0000000000011237

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365767239