{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T14:12:34Z","timestamp":1789827154431,"version":"4.0.1"},"reference-count":35,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Reinnervation procedures for patients with flaccid facial paralysis (FFP) often require a lengthy delay until facial symmetry is restored. We have incorporated a simultaneous suture-based \u201crapid restoration\u201d (RR) to symmetrize the mid- and lower face in the early postoperative period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We studied patients with FFP who underwent facial reanimation from March 2022 to February 2025 where dynamic changes were not expected for at least 4 months. We used Emotrics to measure nasolabial fold (NLF) angle, upper lip slope, and oral commissure (OC) height and calculated symmetry indices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      We included 13 patients who underwent RR and 15 patients who underwent only dynamic reanimation. Patients who underwent RR experienced the following median changes: resting NLF angle increase from 7.1\u00b0 to 26.0\u00b0 with improvement in symmetry index from 22.7% to 88.9% (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001); upper lip slope decrease from 26.2\u00b0 to 21.2\u00b0 with improvement in symmetry index from 42.7% to 76.0% (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.025); and OC height asymmetry decrease from 5.7 to 1.8 mm (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Patients who did not undergo simultaneous RR realized no significant changes in NLF angle, upper lip slope, or OC height.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>RR performed alongside dynamic facial reanimation procedures helps to eliminate major asymmetry associated with FFP while awaiting restoration of facial function.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26893614261473426","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T04:40:40Z","timestamp":1789620040000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Rapid Restoration: Suture Stabilization of the Central Facial Landmarks"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4459-0746","authenticated-orcid":false,"given":"Roy","family":"Xiao","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth R.","family":"McGonagle","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Massachusetts Eye and Ear, Boston, Massachusetts, USA."},{"name":"Hadlock Center for Facial Plastic Surgery, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine F.","family":"Roy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Massachusetts Eye and Ear, Boston, Massachusetts, USA."},{"name":"Hadlock Center for Facial Plastic Surgery, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter A.","family":"Boek","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Massachusetts Eye and Ear, Boston, Massachusetts, USA."},{"name":"Hadlock Center for Facial Plastic Surgery, Boston, Massachusetts, USA."},{"name":"University of Groningen, Groningen, Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tessa A.","family":"Hadlock","sequence":"additional","affiliation":[{"name":"Hadlock Center for Facial Plastic Surgery, Boston, Massachusetts, USA."},{"name":"Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2016.1462"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27481"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200411000-00026"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940611500908"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318254b08d"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24801"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25130"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2015.36"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000001908"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2017.1425"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2018.0030"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200103000-00005"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12434"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200112000-00006"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000194691.32551.24"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.03.013"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31814b8d83"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.9.3.205"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2015.09.007"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otot.2021.10.013"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198601000-00019"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000169685.54862.18"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2013.12.021"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2014.07.041"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2020.0223"},{"issue":"3","key":"e_1_3_3_27_1","first-page":"A5021","article-title":"Using a double-layered palmaris longus tendon for suspension of facial paralysis","volume":"62","author":"Toyserkani NM","year":"2015","unstructured":"26.Toyserkani NM, , Bakholdt V, , Sorensen JA. Using a double-layered palmaris longus tendon for suspension of facial paralysis. Dan Med J. 2015;62(3):A5021.","journal-title":"Dan Med J"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e318280245b"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2020.0580"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e31818c4b45"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003501"},{"key":"e_1_3_3_32_1","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.6.3.197"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e31815614e4"},{"key":"e_1_3_3_34_1","doi-asserted-by":"publisher","DOI":"10.1001\/archfacial.2010.36"},{"key":"e_1_3_3_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2017.07.176"},{"key":"e_1_3_3_36_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2016.0226"}],"container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26893614261473426","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26893614261473426","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26893614261473426","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T13:55:32Z","timestamp":1789826132000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26893614261473426"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":35,"alternative-id":["10.1177\/26893614261473426"],"URL":"https:\/\/doi.org\/10.1177\/26893614261473426","relation":{},"ISSN":["2689-3614","2689-3622"],"issn-type":[{"value":"2689-3614","type":"print"},{"value":"2689-3622","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]},"article-number":"26893614261473426"}}