Dynamic Reconstruction of the Lower Lip With Free Functioning Gracilis Muscle Transfer

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Łukasz Krakowczyk ◽  
Jakub Opyrchał ◽  
Daniel Bula ◽  
Janusz Wierzgoń ◽  
Cezary Szymczyk ◽  
...  
Keyword(s):  
Gracilis Muscle ◽  
Dynamic Reconstruction ◽  
Muscle Transfer ◽  
Lower Lip

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.

Does technical components of microanastomoses influence the functional outcome of free gracilis muscle transfer for elbow flexion in traumatic brachial plexus injury?

2021 ◽  
pp. 102827
Author(s):  
Francisco Vilmar Felix Martins-Filho ◽  
Fernanda do Carmo Iwase ◽  
Gustavo Bersani Silva ◽  
Alvaro Baik Cho ◽  
Teng Hsiang Wei ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Functional Outcome ◽  
Brachial Plexus Injury ◽  
Elbow Flexion ◽  
Gracilis Muscle ◽  
Muscle Transfer

Free gracilis muscle transfer with ulnar nerve neurotization for elbow flexion restoration

2020 ◽  
Author(s):  
Marcelo R. De Rezende ◽  
Bruno A. Veronesi ◽  
Renata G. Paulos ◽  
Alvaro B. Cho ◽  
Samuel Ribak ◽  
...  
Keyword(s):  
Ulnar Nerve ◽  
Elbow Flexion ◽  
Gracilis Muscle ◽  
Muscle Transfer

scholarly journals Facial reanimation with masseter nerve–innervated free gracilis muscle transfer in established facial palsy patients

2019 ◽  
Vol 46 (2) ◽  
pp. 122-128 ◽  
Author(s):  
Tae Suk Oh ◽  
Hyung Bae Kim ◽  
Jong Woo Choi ◽  
Woo Shik Jeong
Keyword(s):  
Facial Palsy ◽  
Gracilis Muscle ◽  
Muscle Transfer ◽  
Facial Reanimation

Nerve Switch for Reducing Synkinesis After Gracilis Muscle Transfer Innervated Via the Masseter Nerve

2019 ◽  
Vol 30 (1) ◽  
pp. e3-e5
Author(s):  
Tomoyuki Ota ◽  
Hiroshi Matsumoto ◽  
Kiyoshi Yamada ◽  
Yoshihiro Kimata
Keyword(s):  
Gracilis Muscle ◽  
Muscle Transfer
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