The Multivector Gracilis Free Functional Muscle Flap for Facial Reanimation

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Facial reanimation surgery with micro-vascular gracilis free flap for unilateral facial palsy.

INTRODUCTION AND OBJECTIVES Micro-neurovascular free muscle flap transfer is currently the procedure of choice for long-standing facial paralysis. We present a case series of patients treated with gracilis muscle free flap with motor innervation by the masseteric nerve. We discuss the surgical technique and quantify the movement granted by the muscle, the improvement in quality of life and aest...

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Comparison of one-stage free gracilis muscle flap with two-stage method in chronic facial palsy

 Abstract Background: Rehabilitation of facial paralysis is one of the greatest challenges faced by reconstructive surgeons today. The traditional method for treatment of patients with facial palsy is the two-stage free gracilis flap which has a long latency period of between the two stages of surgery. Methods: In this paper, we prospectively compared the results of the one-stage gracilis flap ...

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Functioning free gracilis myocutaneous flap transfer provides a reliable single-stage facial reconstruction and reanimation following tumor ablation.

BACKGROUND Ablative orofacial defects incorporating mimetic facial musculature/nerve cause hemifacial expressive dysfunction and considerable morbidity but are rarely reanimated immediately using free functioning gracilis myocutaneous flaps. METHODS Disrupted buccal branches provided a recipient facial nerve for 24 gracilis reinnervations. An additional 15 free flaps were used for extensive c...

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comparison of one-stage free gracilis muscle flap with two-stage method in chronic facial palsy

abstract background: rehabilitation of facial paralysis is one of the greatest challenges faced by reconstructive surgeons today. the traditional method for treatment of patients with facial palsy is the two-stage free gracilis flap which has a long latency period of between the two stages of surgery. methods: in this paper, we prospectively compared the results of the one-stage gracilis flap m...

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Single-stage dynamic reanimation of the smile in irreversible facial paralysis by free functional muscle transfer.

Unilateral facial paralysis is a common disease that is associated with significant functional, aesthetic and psychological issues. Though idiopathic facial paralysis (Bell's palsy) is the most common diagnosis, patients can also present with a history of physical trauma, infectious disease, tumor, or iatrogenic facial paralysis. Early repair within one year of injury can be achieved by direct ...

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ژورنال

عنوان ژورنال: JAMA Facial Plastic Surgery

سال: 2018

ISSN: 2168-6076,2168-6092

DOI: 10.1001/jamafacial.2018.0048