Abstract: The Influence of Age and Etiology on Operative Outcomes in Facial Palsy after Cross Face Nerve Graft with Free Gracilis Muscle Transfer
نویسندگان
چکیده
METHODS: A retrospective chart review was performed of patients with facial palsy who received either CFNG-FGMT or LTM from 2008–2016 at a single institution. Analysis of the normal and affected sides of the face, in repose and while smiling, in preand post-operative photographs was performed by using the Facial Assessment by Computer Evaluation (FACE-gram) software.1 Commissure displacement was measured in three vectors. Statistical analysis included Wilcoxon rank sum, Fisher exact test, and multi-level mixed-effects regression.
منابع مشابه
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 ...
متن کاملSingle-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 ...
متن کاملQuality-of-life improvement after free gracilis muscle transfer for smile restoration in patients with facial paralysis.
IMPORTANCE Facial paralysis can contribute to disfigurement, psychological difficulties, and an inability to convey emotion via facial expression. In patients unable to perform a meaningful smile, free gracilis muscle transfer (FGMT) can often restore smile function. However, little is known about the impact on disease-specific quality of life. OBJECTIVE To determine quantitatively whether FG...
متن کاملSalvage procedures after failed facial reanimation surgery using the masseteric nerve as the motor nerve for free functional gracilis muscle transfer.
IMPORTANCE Free muscle transfer innervated by a cross-facial nerve graft represents the criterion standard for smile reconstruction in facial paralysis. If primary reconstruction fails, a second muscle transfer is usually needed. Herein, we investigated the possibility of avoiding a second free muscle transfer by in situ coaptation of the gracilis muscle to the masseteric nerve. OBSERVATIONS ...
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1. Furukawa H, Saito A, Mol W, Sekido M, Sasaki S, Yamamoto Y. Double innervation occurs in the facial mimetic muscles after facial-hypoglossal end-to-side neural repair: rat model for neural supercharge concept. J Plast Reconstr Aesthet Surg. 2008;61(3):257–64. 2. Terzis JK, Wang W, Zhao Y. Effect of axonal load on the functional and aesthetic outcomes of the cross-facial nerve graft procedure...
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