Gentile Antonioenrico, Ceccaroni Alessandra, Alderhali Raed, Alzaid Mohammad, Rupra Roshan Singh, Fink Benjamin, Daneshi Kian, Khajuria Ankur
From the Plastic Surgery Unit, Department of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy.
Department of Medicine, Newcastle University, Johor, Malaysia.
Plast Reconstr Surg Glob Open. 2025 Sep 26;13(9):e7138. doi: 10.1097/GOX.0000000000007138. eCollection 2025 Sep.
Facial paralysis profoundly affects physical, psychological, and social well-being. Facial reanimation surgery (FRS) uses various static and dynamic procedures to restore function and appearance. This bibliometric analysis of the top 100 most-cited FRS articles identifies trends, gaps, and methodological quality, offering insights into the field's evolution, guiding future research, and supporting evidence-based clinical practices to enhance patient outcomes.
The top 100 most-cited articles related to FRS were identified through a comprehensive Web of Science search covering publications from 1976 to 2024. Data including citation count, study focus, and Oxford Centre for Evidence-Based Medicine levels of evidence (LOEs) were extracted.
The most-cited articles on FRS amassed a total of 6872 citations, involving 5601 patients, with citations per article ranging from 31 to 535. Most studies were LOE 3 (n = 52), with fewer at higher evidence levels (LOEs 1 and 2). Surgical technique was the primary focus (n = 65), whereas validated patient-reported outcome measures appeared in only 8 studies.
Our findings highlight the need for better research methods and wider use of validated patient-reported outcome measures in FRS studies. Standardized tools and high-quality, multicenter research are crucial for improving patient care. This analysis offers insights into FRS evolution and recommends collaborative, interdisciplinary studies to advance the field.
面瘫会严重影响身体、心理和社会福祉。面部重建手术（FRS）采用各种静态和动态手术方法来恢复功能和外观。这项对100篇被引频次最高的FRS文章的文献计量分析确定了趋势、差距和方法学质量，为该领域的发展提供见解，指导未来研究，并支持基于证据的临床实践以改善患者预后。
通过对科学网进行全面检索，确定了1976年至2024年发表的与FRS相关的100篇被引频次最高的文章。提取了包括被引次数、研究重点和牛津循证医学中心证据水平（LOEs）等数据。
FRS领域被引频次最高的文章累计被引6872次，涉及5601例患者，每篇文章的被引次数在31至535次之间。大多数研究为证据水平3（n = 52），证据水平较高（证据水平1和2）的研究较少。手术技术是主要研究重点（n = 65），而经过验证的患者报告结局指标仅在8项研究中出现。
我们的研究结果强调了在FRS研究中需要更好的研究方法以及更广泛地使用经过验证的患者报告结局指标。标准化工具和高质量的多中心研究对于改善患者护理至关重要。该分析为FRS的发展提供了见解，并建议开展合作性的跨学科研究以推动该领域的发展。
