Visual perception of faces with unilateral and bilateral cleft lip and palate: An Eye‐Tracking Study

Di̇ndaroğlu, Furkan; Doğan, Servet; Amado, Sonia; Dogan, Ege

doi:10.1111/ocr.12140

Cited by 28 publications

(39 citation statements)

References 28 publications

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“…Similarly, Godoy et al showed that observers spent, on average, 658 more milliseconds on a crooked nose than they did on a normal nose . Dindaroglu et al further demonstrated comparable differences in upper lip fixation when studying how laypeople gazed on photos of cleft lip patients …”

Section: Discussionmentioning

confidence: 95%

“…16 Dindaroglu et al further demonstrated comparable differences in upper lip fixation when studying how laypeople gazed on photos of cleft lip patients. 34 Perhaps more telling are the social penalties suffered by those with facial deformity. For example, both patients with facial paralysis and those with crooked noses are perceived as less attractive by society, and diminished attractiveness has been strongly associated with depression.…”

Section: Discussionmentioning

confidence: 99%

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Objectively Measuring Observer Attention in Severe Thyroid‐Associated Orbitopathy: A 3D Study

et al. 2018

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Objectively Measuring Observer Attention in Severe Thyroid‐Associated Orbitopathy: A 3D Study

et al. 2018

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“…34 We sought to better understand how parotidectomy and reconstruction of the parotidectomy facial contour deformity impacts casual observer attention using eye tracking, a well-established tool for measuring outcomes in facial plastic and reconstructive surgery. [22][23][24][25]27,30,[35][36][37][38][39][40][41][42][43] Eye tracking is a valuable tool because it allows us to objectively measure normalization in facial attention, an important measure of successful reconstruction. Casual observer attention is important because many of our daily social interactions are brief encounters with people in society (casual observers), and it is these high-volume encounters that can be a large contributor to a patient's reduced quality of life.…”

Section: Discussionmentioning

confidence: 99%

Dermal Fat Grafting to Reconstruct the Parotidectomy Defect Normalizes Facial Attention

et al. 2020

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Objectives/Hypothesis Use validated eye‐tracking technology to objectively measure 1) the attentional distraction of facial contour defects after superficial and total parotidectomy and 2) changes in attentional distraction with abdominal dermal fat graft reconstruction. Methods Standardized frontal and oblique facial images of 16 patients who had undergone superficial or total parotidectomy with or without fat graft reconstruction; four normal controls were obtained. One hundred casual observers were recruited to view these images, and gaze data were collected using a Tobii Pro eye‐tracking system. Gaze durations for predefined facial areas of interest were analyzed using mixed‐effects linear regression to test study hypotheses. Results For frontal images, total parotidectomy increased gaze to the operated parotid area compared to the contralateral nonoperated parotid area (92 milliseconds, 95% confidence interval [CI]: 48‐138 milliseconds, P < .001). Fat grafting normalized the attentional distraction, with no difference in gaze time on the operated parotid region compared to normal control faces (P = .414). For oblique images, total parotidectomy increased gaze to the operated parotid area compared to the contralateral nonoperated parotid area (658 milliseconds, 95% CI: 463‐854 milliseconds, P < .001). Fat grafting normalized this attentional distraction, with no difference in gaze time on the operated parotid region compared to normal control faces (P = .504). In both views, superficial parotidectomy demonstrated no significant attentional distractions, with or without fat grafting. Conclusions This eye‐tracking study objectively demonstrates that total parotidectomy results in a facial contour deformity that is distracting to observers, whereas superficial parotidectomy does not. For total parotidectomy, this attentional distraction can be normalized with dermal fat graft reconstruction. Level of Evidence 3b Laryngoscope, 131:E124–E131, 2021

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“…Eye tracking provides an objective assessment of perception and attention toward patients with craniofacial differences. Eye tracking has been studied in coronal craniosynostosis (Linz et al, 2016) and cleft lip (Meyer-Marcotty et al, 2010; Meyer-Marcotty et al, 2011; van Schijndel et al, 2015; Dindaroglu et al, 2017; Rayson et al, 2017; Quast et al, 2018; Warne et al, 2018; Morzycki et al, 2019) as an objective method to test attention and perception through gaze patterns (Gibaldi et al, 2017). This objective assessment of attention and perception can provide insight on the social stigma of a craniofacial deformity established in the literature (Ozgur et al, 2006; Marchac et al, 2008; Singh and Moss, 2015) and how the surgery eliminates this stigma.…”

Section: Introductionmentioning

confidence: 99%

The Use of Eye Tracking to Discern the Threshold at Which Metopic Orbitofrontal Deformity Attracts Attention

Pressler

Geisler

Hallac

et al. 2020

The Cleft Palate-Craniofacial Journal

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Introduction and Objectives: Surgical treatment for trigonocephaly aims to eliminate a stigmatizing deformity, yet the severity that captures unwanted attention is unknown. Surgeons intervene at different points of severity, eliciting controversy. This study used eye tracking to investigate when deformity is perceived. Material and Methods: Three-dimensional photogrammetric images of a normal child and a child with trigonocephaly were mathematically deformed, in 10% increments, to create a spectrum of 11 images. These images were shown to participants using an eye tracker. Participants’ gaze patterns were analyzed, and participants were asked if each image looked “normal” or “abnormal.” Results: Sixty-six graduate students were recruited. Average dwell time toward pathologic areas of interest (AOIs) increased proportionally, from 0.77 ± 0.33 seconds at 0% deformity to 1.08 ± 0.75 seconds at 100% deformity ( P < .0001). A majority of participants did not agree an image looked “abnormal” until 90% deformity from any angle. Conclusion: Eye tracking can be used as a proxy for attention threshold toward orbitofrontal deformity. The amount of attention toward orbitofrontal AOIs increased proportionally with severity. Participants did not generally agree there was “abnormality” until deformity was severe. This study supports the assertion that surgical intervention may be best reserved for more severe deformity.

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Visual perception of faces with unilateral and bilateral cleft lip and palate: An Eye‐Tracking Study

Abstract: Structured AbstractObjectives: To test the hypotheses that there are differences between orthodontists,

Cited by 28 publications

References 28 publications

Objectively Measuring Observer Attention in Severe Thyroid‐Associated Orbitopathy: A 3D Study

Objectively Measuring Observer Attention in Severe Thyroid‐Associated Orbitopathy: A 3D Study

Dermal Fat Grafting to Reconstruct the Parotidectomy Defect Normalizes Facial Attention

The Use of Eye Tracking to Discern the Threshold at Which Metopic Orbitofrontal Deformity Attracts Attention

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