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  • Use of Titanium Mesh During Frontal Sinus Setback in Facial Feminization Surgery: Clinical Outcomes and Perspectives.
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  • Use of Titanium Mesh During Frontal Sinus Setback in Facial Feminization Surgery: Clinical Outcomes and Perspectives.

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Use of Titanium Mesh During Frontal Sinus Setback in Facial Feminization Surgery: Clinical Outcomes and Perspectives. (English)
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Brow position, hairline shape, and forehead projection may confer cis-feminine identity, and facial feminization surgery (FFS) can improve gender dysphoria among transfeminine patients. (English)
Copyright © 2024 by Mutaz B. Habal, MD. (English)
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Depending on the Ousterhout classification, burring, osteotomy, anterior frontal sinus setback, and augmentation, with subsequent fixation via metal or bioabsorbable plates, can address forehead projection. (English)
Copyright © 2024 by Mutaz B. Habal, MD. (English)
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However, titanium mesh, often used in frontal sinus fracture repair, has not been described for forehead contouring in FFS. (English)
Copyright © 2024 by Mutaz B. Habal, MD. (English)
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The purpose of this study was to study clinical outcomes associated with the use of titanium mesh for the stabilization of bone following anterior frontal sinus setback. (English)
Copyright © 2024 by Mutaz B. Habal, MD. (English)
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A retrospective cohort study of trans-female and nonbinary patients undergoing primary FFS by our senior author between January 2021 and February 2023 was performed. (English)
Copyright © 2024 by Mutaz B. Habal, MD. (English)
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Variables collected include demographics, Ousterhout classification, operative details, complications, and follow-up duration. (English)
Copyright © 2024 by Mutaz B. Habal, MD. (English)
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Patients with prior FFS or facial trauma were excluded. (English)
Copyright © 2024 by Mutaz B. Habal, MD. (English)
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Data were analyzed using SPSS, (IBM, Armonk, NY). (English)
Copyright © 2024 by Mutaz B. Habal, MD. (English)
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Forty-three transfeminine patients were included for analysis. (English)
Copyright © 2024 by Mutaz B. Habal, MD. (English)
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The cohort had an average age of 33.0±8.7 years and a median follow-up time of 3.0 months (IQR = 1.0-7.0). (English)
Copyright © 2024 by Mutaz B. Habal, MD. (English)
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Among our cohort, 26 patients (60.5%) received titanium mesh and 17 patients (39.5%) underwent burring only for forehead contouring. (English)
Copyright © 2024 by Mutaz B. Habal, MD. (English)
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There were no reported complications (ie, infection, hardware extrusion, or mucocele formation) or a need for forehead revisions among the entire cohort regardless of the frontal sinus reconstruction material utilized. (English)
Copyright © 2024 by Mutaz B. Habal, MD. (English)
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Clinical outcomes were favorable among patients receiving titanium mesh anterior table fixation during FFS. (English)
Copyright © 2024 by Mutaz B. Habal, MD. (English)
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Titanium mesh can be considered as an additional technique for frontal bossing reduction and anterior table fixation in FFS. (English)
Copyright © 2024 by Mutaz B. Habal, MD. (English)
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2024
1 July 2024
31 August 2024
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3 June 2024
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2024
1 July 2024
31 August 2024
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35
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5
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1338-1341
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1338
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1341
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The authors report no conflicts of interest. (English)
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