Abstract
Postoperative satisfaction after facial gender-affirming surgery (FGAS) has not yet
been assessed using a validated questionnaire. There is currently no postoperative
satisfaction questionnaire specific to transgender patients concerning facial surgery.
The contributions of three-dimensional planning in fronto-orbital surgery in trans
women and the use of bone cutting guides for facial feminization surgery have been
demonstrated. The primary objective of this study was to evaluate postoperative satisfaction
with the upper third of the face in trans women using a validated questionnaire –
FACE-Q – after fronto-orbital surgery using custom-made bone cutting guides. The secondary
objective was to determine predictive factors of satisfaction. Forty-two patients
who underwent frontoplasty with frontal sinus impaction osteotomies using custom bone
cutting guides between May 2018 and September 2020 were included. Three-dimensional
preoperative computed tomography planning was performed for each patient. Evaluations
were performed preoperatively and at 1 year postoperative using FACE-Q items relating
to the upper third of the face (fronto-orbital area) and general questionnaire items.
At 1 year, the following FACE-Q scales had improved significantly in comparison to
the preoperative evaluation: overall facial appearance (33.6 ± 19.4 vs 70.1 ± 21.1;
P < 0.001), forehead and eyebrow appearance (38.3 ± 19.7 vs 80.1 ± 15.9; P < 0.001), wrinkles between the eyebrows (54.1 ± 26.7 vs 82.6 ± 19.9; P = 0.001), appearance-related psychological distress (58.1 ± 18.1 vs 24.6 ± 24.5;
P < 0.001). No factors predictive of postoperative satisfaction were found for the
included frontal FGAS. In the absence of a validated questionnaire specific to facial
feminization surgery in transgender patients, the FACE-Q questionnaire showed an improvement
in patient satisfaction after FGAS of the upper third using custom-made cutting guides.
Keywords
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Article info
Publication history
Published online: November 21, 2022
Accepted:
November 8,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
