Long-term results of microvascular free-tissue transfer reanimation of the paralyzed face: Three cases

We conducted a retrospective case review at our tertiary care academic medical center to assess the long-term results of microvascular free-tissue transfer to achieve facial reanimation in 3 patients. These patients had undergone wide-field parotidectomy with facial nerve resection. Upper facial reanimation was accomplished with a proximal facial nerve–sural nerve graft, and lower facial movement was achieved through proximal facial nerve–long thoracic (serratus muscle) nerve anastomosis. Outcomes were determined by grading postoperative facial nerve function according to the House-Brackmann system. All 3 patients were able to close their eyes independent of lower facial movement, and all 3 had achieved House-Brackmann grade III function. We conclude that reanimating the paralyzed face with microvascular free-tissue transfer provides anatomic coverage and mimetic function after wide-field parotidectomy. Synkinesis is reduced by separating upper-and lower-division reanimation.

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Long-Term Results Following Free Tissue Transfer for Venous Stasis Ulcers

Annals of Plastic Surgery ◽

10.1097/00000637-199808000-00004 ◽

1998 ◽

Vol 41 (2) ◽

pp. 131-139 ◽

Cited By ~ 7

Author(s):

Thomas J. Steffe ◽

H Hollis Caffee

Keyword(s):

Free Tissue Transfer ◽

Long Term Results ◽

Venous Stasis ◽

Tissue Transfer

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Endaural Atticotomy for pars flaccida Cholesteatoma

Otolaryngology ◽

10.1016/j.otohns.2008.05.178 ◽

2008 ◽

Vol 139 (2_suppl) ◽

pp. P55-P55

Author(s):

John P Leonetti ◽

Sam J Marzo ◽

Matthew L Kircher

Keyword(s):

Clinical Symptoms ◽

Medical Center ◽

Academic Medical Center ◽

Tertiary Care ◽

Retrospective Chart Review ◽

Long Term Results ◽

Pars Flaccida ◽

Academic Medical

Objective To present our long-term results using an endaural atticotomy approach for the management of 361 cases of pars flaccida cholesteatoma. Methods This is a retrospective chart review of 361 cases of attic cholesteatoma that were surgically managed at our tertiary care, academic medical center between 7/88 – 7/07. Results 361 of the 2068 cholesteatomas treated at our institution were surgically managed with an endaural atticotomy approach. There were 201 females and 160 males who ranged in age from 17–77 years. The most common clinical symptoms were aural fullness, hearing loss, and otorrhea. Ossiculoplasty was necessary in 170 of 361 or 47% of the patients. Hearing levels were maintained or improved in 297 patients or 82%. Cholesteatoma recurred in 29 of 361 patients (8%) and 24 of these 29 patients failed to return for otoscopic evaluation and PE tube replacement. The mean follow-up was 7.7 years. Conclusions The endaural approach for pars flaccida cholesteatoma is an option for limited retraction cholesteatomas in patients who will reliably be seen for ventilation tube replacement.

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Functional and Social Long-Term Results After Free Tissue Transfer to the Lower Extremity

Annals of Plastic Surgery ◽

10.1097/00000637-199504000-00005 ◽

1995 ◽

Vol 34 (4) ◽

pp. 372-375 ◽

Cited By ~ 18

Author(s):

Benny Dahl ◽

Anders P. Andersson ◽

Mikael Andersen ◽

Gert R. Andersen ◽

Lars B. Ebskov ◽

...

Keyword(s):

Lower Extremity ◽

Free Tissue Transfer ◽

Long Term Results ◽

Tissue Transfer

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Long-Term Patency and Fluid Dynamics of Recipient Artery after End-to-Side Anastomosis for Free Tissue Transfer

Plastic & Reconstructive Surgery ◽

10.1097/prs.0000000000008439 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Matthew D. Treiser ◽

Megan R. Miles ◽

Frank P. Albino ◽

Aviram M. Giladi ◽

Ryan D. Katz ◽

...

Keyword(s):

Fluid Dynamics ◽

Free Tissue Transfer ◽

Recipient Artery ◽

Tissue Transfer

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Long-Term Inhalative Sedation in Children With Pulmonary Diseases

Journal of Intensive Care Medicine ◽

10.1177/0885066620953395 ◽

2020 ◽

pp. 088506662095339

Author(s):

Jochen Meyburg ◽

David Frommhold ◽

Johann Motsch ◽

Navina Kuss

Keyword(s):

Side Effects ◽

Lung Function ◽

Medical Center ◽

Academic Medical Center ◽

Tertiary Care ◽

Prospective Trial ◽

Pediatric Intensive Care ◽

Normal Lung ◽

Beneficial Effects

Objectives: To describe safety and feasibility of long-term inhalative sedation (LTIS) in children with severe respiratory diseases compared to patients with normal lung function with respect to recent studies that showed beneficial effects in adult patients with acute respiratory distress syndrome (ARDS). Design: Single-center retrospective study. Setting: 12-bed pediatric intensive care unit (PICU) in a tertiary-care academic medical center in Germany. Patients: All patients treated in our PICU with LTIS using the AnaConDa® device between July 2011 and July 2019. Measurements and Main Results: Thirty-seven courses of LTIS in 29 patients were analyzed. LTIS was feasible in both groups, but concomitant intravenous sedatives could be reduced more rapidly in children with lung diseases. Cardiocirculatory depression requiring vasopressors was observed in all patients. However, severe side effects only rarely occured. Conclusions: In this largest cohort of children treated with LTIS reported so far, LTIS was feasible even in children with severely impaired lung function. From our data, a prospective trial on the use of LTIS in children with ARDS seems justified. However, a thorough monitoring of cardiocirculatory side effects is mandatory.

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Long-Term Results of Radiofrequency Volumetric Tissue Reduction of the Palate for Snoring

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348940311200315 ◽

2003 ◽

Vol 112 (3) ◽

pp. 276-279 ◽

Cited By ~ 20

Author(s):

Bassem Said ◽

Marshall Strome

Keyword(s):

Patient Satisfaction ◽

Medical Center ◽

Academic Medical Center ◽

Term Treatment ◽

Response To Treatment ◽

Long Term Results ◽

Long Term Treatment ◽

Radiofrequency Volumetric Tissue Reduction ◽

Tissue Reduction

To assess the long-term efficacy and morbidity of radiofrequency volumetric tissue reduction (RFVTR) of the soft palate for snoring, we examined the medical records of 39 patients who received this treatment at an academic medical center. Telephone interviews were conducted with the patients to evaluate the long-term subjective efficacy and sequelae. The average follow-up was 14 months (range, 3 to 26 months). Twenty-eight patients (72%) responded to treatment, defined as a 4-point decrease on a 10-point scale. The self-reported snoring score decreased an average of 52% (8.8 ± 1.9 to 4.2 ± 2.9). Sixty-seven percent of the patients were satisfied. The response to treatment did not always correlate with patient satisfaction. The snoring relapse rate was 11% among responders. No significant differences were identified between responders and nonresponders. No significant complications or long-term sequelae were observed. We conclude that RFVTR of the palate is a relatively safe and effective long-term treatment for snoring. Defining realistic pretreatment expectations is important in maximizing patient satisfaction.

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