Recycle of temporal muscle in combination with free muscle transfer in the treatment of facial paralysis

2013 ◽  
Vol 66 (7) ◽  
pp. 991-995 ◽  
Author(s):  
Masakazu Kurita ◽  
Akihiko Takushima ◽  
Tomohiro Shiraishi ◽  
Mikio Kinoshita ◽  
Mine Ozaki ◽  
...  
Keyword(s):  
Facial Paralysis ◽  
Muscle Transfer ◽  
Temporal Muscle

Facial Reanimation of Patients With Neurofibromatosis Type 2

2011 ◽  
Vol 70 (suppl_2) ◽  
pp. ons237-ons243 ◽  
Author(s):  
Kalpesh T. Vakharia ◽  
Doug Henstrom ◽  
Scott R. Plotkin ◽  
Mack Cheney ◽  
Tessa A. Hadlock
Keyword(s):  
Facial Paralysis ◽  
Neurofibromatosis Type ◽  
Neurofibromatosis Type 2 ◽  
Gracilis Muscle ◽  
Single Stage ◽  
Care Plan ◽  
Muscle Transfer ◽  
Facial Reanimation ◽  
Oral Commissure

ABSTRACT BACKGROUND: Neurofibromatosis type 2 (NF2) is a tumor suppressor syndrome defined by bilateral vestibular schwannomas. Facial paralysis, from either tumor growth or surgical intervention, is a devastating complication of this disorder and can contribute to disfigurement and corneal keratopathy. Historically, physicians have not attempted to treat facial paralysis in these patients. OBJECTIVE: To review our clinical experience with free gracilis muscle transfer for the purpose of facial reanimation in patients with NF2. METHODS: Five patients with NF2 and complete unilateral facial paralysis were referred to the facial nerve center at our institution. Charts and operative reports were reviewed; treatment details and functional outcomes are reported. RESULTS: Patients were treated between 2006 and 2009. Three patients were men and 2 were women. The age of presentation of debilitating facial paralysis ranged from 12 to 50 years. All patients were treated with a single-stage free gracilis muscle transfer for smile reanimation. Each obturator nerve of the gracilis was coapted to the masseteric branch of the trigeminal nerve. Measurement of oral commissure excursions at rest and with smile preoperatively and postoperatively revealed an improved and nearly symmetric smile in all cases. CONCLUSION: Management of facial paralysis is oftentimes overlooked when defining a care plan for NF2 patients who typically have multiple brain and spine tumors. The paralyzed smile may be treated successfully with single-stage free gracilis muscle transfer in the motivated patient.

Neurovascular Free-Muscle Transfer for the Treatment of Established Facial Paralysis following Ablative Surgery in the Parotid Region

2004 ◽  
Vol 113 (6) ◽  
pp. 1563-1572 ◽  
Author(s):  
Akihiko Takushima ◽  
Kiyonori Harii ◽  
Hirotaka Asato ◽  
Kazuki Ueda ◽  
Atsushi Yamada
Keyword(s):  
Facial Paralysis ◽  
Muscle Transfer ◽  
Parotid Region ◽  
Ablative Surgery

Free Rectus Femoris Muscle Transfer for One-Stage Reconstruction of Established Facial Paralysis

1994 ◽  
Vol 94 (3) ◽  
pp. 421-430 ◽  
Author(s):  
Isao Koshima ◽  
Takahiko Moriguchi ◽  
Shugo Soeda ◽  
Takaomi Hamanaka ◽  
Hitoshi Tanaka ◽  
...  
Keyword(s):  
Facial Paralysis ◽  
Rectus Femoris ◽  
Muscle Transfer ◽  
One Stage ◽  
One Stage Reconstruction ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

scholarly journals Revisiting Orthodromic Temporalis Transfer in Treating Long-Standing Facial Paralysis

2010 ◽  
Vol 3 (1) ◽  
pp. 17-23
Author(s):  
Amir S. Elbarbary ◽  
Mostafa Hemeda ◽  
Adel H. Amr
Keyword(s):  
Facial Paralysis ◽  
Simple Procedure ◽  
University Hospital ◽  
Temporalis Muscle ◽  
Muscle Transfer ◽  
The Past ◽  
Intraoral Approach ◽  
Good Movement ◽  
Fascia Lata Graft ◽  
Facial Reanimation

The treatment of long-standing facial paralysis through temporalis muscle transfer has stood the test of time. Herein, we present a modification in temporalis muscle transfer for lower facial reanimation. Instead of the traditional stripping of the temporalis muscle from its origin, its insertion is stripped from the coronoid process through an intraoral approach. The detached fibers were then sutured to a fascia lata graft, which was passed and secured to the orbicularis oris to reanimate the corner of the mouth. The procedure is less extensive and provides a direct “orthodromic” line of pull with good muscular excursion and power. This simple procedure has been applied to 12 consecutive cases with long-standing complete facial paralysis presenting to the Plastic and Reconstructive Surgery Clinic at the Ain-Shams University Hospital over the past 2 years. In addition to symmetry at rest, this easy procedure allowed for good movement of the corner of the mouth with restoration of a balanced smile.

Sign in / Sign up

Export Citation Format

Share Document