التفاصيل البيبلوغرافية
| العنوان: |
Double innervated free functional muscle transfer for facial reanimation. |
| المؤلفون: |
Cardenas-Mejia, Alexander1 (AUTHOR) alexcardenas@hotmail.com, Covarrubias-Ramirez, Jorge Vladimir1 (AUTHOR), Bello-Margolis, Andres1 (AUTHOR), Rozen, Shai2 (AUTHOR) |
| المصدر: |
Journal of Plastic Surgery & Hand Surgery (Taylor & Francis Ltd). Jun2014, Vol. 49 Issue 3, p183-188. 6p. |
| مصطلحات موضوعية: |
*TREATMENT of facial paralysis, *FACIAL flaps, *SKIN grafting, *FACIAL muscles, *SURGICAL flaps, *SURGERY, FACIAL nerve surgery |
| مستخلص: |
Background: The treatment of long-standing facial palsy represents a challenge for the reconstructive surgeon. Treatment is based on dynamic procedures such as functional muscle flaps. The benefit of added axonal load has recently been reported. This study describes a two stage technique involving dual innervation of a gracilis muscle flap with initial cross-facial nerve graft (CFNG) followed by free muscle transfer co-apted to both the CFNG and a masseter nerve for facial reanimation. Methods: A total of nine patients from August 2008-July 2011 were operated on with the double innervated gracilis muscle flap. Pre- and postoperative electromyography was documented, and video analysis with the five-stage classification of reanimation outcomes was performed. Results: All patients recovered voluntary and spontaneous smile abilities, with an average of 70% motor unit recruitment. Based on the Terzis reanimation outcome classification, four patients had an excellent result, four good, and one moderate. Conclusions: The double innervated gracilis muscle flap is a viable technique for the treatment of long-standing facial palsy. It enables a fast recovery with fast muscle activity, and allows an emotional smile and aesthetic symmetry. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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