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Dynamic Reanimation for Facial Paralysis

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Powering the Gracilis for Facial Reanimation: A Systematic Review and Meta-analysis of Outcomes Based on Donor Nerve.

Peter M Vila, Dorina Kallogjeri, Lauren H Yaeger, John J Chi,

Importance:Free gracilis transfer for dynamic reanimation in chronic facial paralysis is the gold standard, but there remains a need to better understand outcomes with respect to the donor nerve. Objective:To characterize outcomes in adults undergoing primary gracilis transfer for facial paralysis stratified by donor nerve used for neurotization. Data Sources:Search ... Read more >>

JAMA Otolaryngol Head Neck Surg (JAMA otolaryngology-- head & neck surgery)
[2020, :]

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Cryopreserved fascia lata allograft use in surgical facial reanimation: a retrospective study of seven cases.

Francesco Silan, Fabio Consiglio, Francesco Dell'Antonia, Giulia Montagner, Diletta Trojan, Giorgio Berna,

Background:Facial palsy treatment comprises static and dynamic techniques. Among dynamic techniques, local temporalis transposition represents a reliable solution to achieve facial reanimation. The present study describes a modification of the temporalis tendon transfer using a cryopreserved fascia allograft. Case presentation:Between March 2015 and September 2018, seven patients with facial palsy ... Read more >>

Maxillofac Plast Reconstr Surg (Maxillofacial plastic and reconstructive surgery)
[2020, 42(1):2]

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Intraoral temporalis transposition for facial reanimation: A novel technique in facial nerve palsy.

Doug John Park, Jae-Ho Chung, Si-Ook Baek, Jin-Woo Kim, Na-Hyun Hwang, Eul-Sik Yoon, Byung-Il Lee, Seung-Ha Park,

BACKGROUND:Facial palsy patients require reconstructive surgery because they suffer from an expressionless and deformed appearance especially during smiling. To gain a natural smile, various dynamic procedures rather than static procedures are performed. Through cadaveric studies with clinical implications on temporalis muscle and intraoral transposition, we were able to come up ... Read more >>

J Craniomaxillofac Surg (Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery)
[2020, 48(3):235-241]

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Α modified temporalis transfer technique for facial paralysis in elderly patients.

Nikolaos Α Papadopulos, Markos A Markou,

INTRODUCTION:In patients with chronic facial palsy where the treatment by conservative means or only nerve grafting is no longer an option, reconstruction by dynamic procedures such as pedicled and/or free muscle transfer is required. PATIENTS AND METHODS:Five patients with chronic facial palsy were treaded by temporalis muscle transfer to the ... Read more >>

Injury (Injury)
[2020, :]

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Orbicularis Oculi Muscle Reinnervation Confers Corneal Protective Advantages over Static Interventions Alone in the Subacute Facial Palsy Patient.

Ahneesh J Mohanty, Justin L Perez, Austin Hembd, Nikhitha P Thrikutam, Jeremy Bartley, Shai M Rozen,

BACKGROUND:Corneal protection is a priority in flaccid facial palsy patients. Denervation of the orbicularis oculi muscle results in weak palpebral closure and predisposes patients to severe corneal sequelae. While periorbital static procedures enhance corneal coverage in repose, voluntary closure is only regained through dynamic reinnervation of the muscle. This study ... Read more >>

Plast. Reconstr. Surg. (Plastic and reconstructive surgery)
[2020, 145(3):791-801]

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Lipofilling of the upper eyelid to treat paralytic lagophthalmos.

F Biglioli, D Rabbiosi, F Bolognesi, M Cucurullo, M Dessy, C Ciardiello, V M A Battista, F Tarabbia, G Dell'Aversana Orabona, C Marchetti, F Allevi,

Lagophthalmos is one of the most unpleasant and dangerous conditions that affect patients with facial palsy. The lack of ocular protection leads to corneal problems (such as conjunctival infections, acute and chronic keratitis, corneal ulcerations, and blindness). A dynamic reanimation of blinking eyelids is the therapeutic gold standard. However, success ... Read more >>

Br J Oral Maxillofac Surg (The British journal of oral & maxillofacial surgery)
[2020, :]

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Reuse of the Masseteric Nerve for Dynamic Reanimation in Facial Palsy Patients with Previously Failed One-Stage Dynamic Smile Reanimation.

Milan D Jovanović, Lukas G Rasulić,

Plast. Reconstr. Surg. (Plastic and reconstructive surgery)
[2019, 144(6):1123e-1125e]

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Reply: Reuse of the Masseteric Nerve for Dynamic Reanimation in Facial Palsy Patients with Previously Failed One-Stage Dynamic Smile Reanimation.

Shai M Rozen,

Plast. Reconstr. Surg. (Plastic and reconstructive surgery)
[2019, 144(6):1124e-1125e]

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Dual Coaptation of Facial Nerve Using Masseteric Branch of Trigeminal Nerve for Iatrogenic Facial Palsy: Preliminary Reports.

Yoon Se Lee, Joong Ho Ahn, Hong Ju Park, Ho Jun Lee, Mi Rye Bae, Jong-Lyel Roh, Seung-Ho Choi, Soon Yuhl Nam, Sang Yoon Kim,

OBJECTIVES:Immediate facial nerve substitution or graft technique has been used for the repair of facial nerve defects occurring as a result of tumour dissection. However, some patients report unsatisfactory outcomes, such as difficulty in maintaining resting or smiling symmetry, due to persistent flaccid facial palsy. Here we evaluated the functional ... Read more >>

Ann. Otol. Rhinol. Laryngol. (The Annals of otology, rhinology, and laryngology)
[2019, :3489419893722]

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Management of Sural Nerve Neuromas with Targeted Muscle Reinnervation.

Megan E Fracol, Gregory A Dumanian, Lindsay E Janes, Jennifer Bai, Jason H Ko,

Neuromas are a debilitating peripheral nerve problem due to aberrant axon sprouting and inflammation after nerve injury. The surgical management of neuromas has for a long time been up for debate, largely due to lack of consistent, reliable outcomes with any one technique. We have found success utilizing targeted muscle ... Read more >>

Plast Reconstr Surg Glob Open (Plastic and Reconstructive Surgery Global Open)
[2020, 8(1):e2545]

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Comparison of Lengthening Temporalis Myoplasty and Free-Gracilis Muscle Transfer for Facial Reanimation in Children.

Phuong D Nguyen, Kristin S Faschan, Daniel M Mazzaferro, Tami Konieczny, Oksana A Jackson, Scott P Bartlett,

BACKGROUND:Lengthening temporalis myoplasty (LTM) and cross-face nerve graft with free gracilis muscle transfer (CFNG-FGMT) are the 2 most common procedures used to restore dynamic facial animation and improve facial symmetry. There has not been direct comparison or consensus. Here, the authors compare our experience with respect to muscle activity, symmetry, ... Read more >>

J Craniofac Surg (The Journal of craniofacial surgery)
[2020, 31(1):85-90]

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Sterno-omohyoid Free Flap for Dual-Vector Dynamic Facial Reanimation.

Aurora G Vincent, Scott E Bevans, Jon M Robitschek, Kelly L Groom, Marc W Herr, Marc H Hohman,

BACKGROUND:Dynamic rehabilitation of longstanding facial palsy with damaged, atrophied, or absent facial muscles requires replacement of neural and muscular components. The ideal reconstruction would include a fast-twitch muscle that is small, a reliable donor vessel and nerve, and the potential to provide a natural, synchronous, dentate smile with minimal donor ... Read more >>

Ann. Otol. Rhinol. Laryngol. (The Annals of otology, rhinology, and laryngology)
[2020, 129(2):195-200]

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Reply to letter by Drs. Jovanovic and Rasulie on the article: Reuse of the masseteric nerve for dynamic reanimation in facial palsy patients with previously failed one-stage dynamic smile reanimation.

Shai M Rozen,

Plast. Reconstr. Surg. (Plastic and reconstructive surgery)
[2019, :]

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Our Opinion on the Reuse of the Masseteric Nerve for Dynamic Reanimation in Facial Palsy Patients with Previously Failed One-Stage Dynamic Smile Reanimation.

Milan D Jovanović, Lukas G Rasulić,

Plast. Reconstr. Surg. (Plastic and reconstructive surgery)
[2019, :]

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Sequelae of Facial Palsy: A Comprehensive Treatment.

Pierre Guerreschi, Daniel Labbé,

LEARNING OBJECTIVES:After studying this article, the participant should be able to: 1. Identify the different types of facial paralysis sequelae and define the several medical and surgical techniques commonly available today. 2. Develop a surgical plan to restore symmetry of the face at rest and in dynamic expressions and manage ... Read more >>

Plast. Reconstr. Surg. (Plastic and reconstructive surgery)
[2019, 144(4):682e-692e]

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Masseteric-Facial Nerve Anastomosis: Surgical Techniques and Outcomes-A Pilot Indian study.

Pirabu Sakthivel, Chirom Amit Singh, Alok Thakar, Geeta Thirumeni, Sarath Raveendran, Suresh Chandra Sharma,

Masseteric-facial anastomosis has gained popularity in recent days compared to the facial-hypoglossal anastomosis. Masseteric nerve has numerous advantages like its proximity to the facial nerve, stronger motor impulse, its reliability, low morbidity in harvesting and sacrificing the nerve and faster re-innervation that is achievable in most patients. The present case ... Read more >>

Indian J Otolaryngol Head Neck Surg (Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India)
[2020, 72(1):92-97]

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Combination of Static and Dynamic Techniques for Smile Reconstruction in Patients with Flaccid Facial Paralysis.

Jurij Kiefer, David Braig, Jan R Thiele, G Björn Stark, Steffen U Eisenhardt,

Plast Reconstr Surg Glob Open (Plastic and Reconstructive Surgery Global Open)
[2019, 7(7):e2322]

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Chimeric Vastus Lateralis and Anterolateral Thigh Flap for Restoring Facial Defects and Dynamic Function following Radical Parotidectomy.

Shaheen Hasmat, Tsu-Hui Low, Aparna Krishnan, Susan Coulson, Sydney Ch'ng, Bruce G Ashford, Glen Croxson, Jonathan R Clark,

BACKGROUND:Extirpation of malignant tumors of the parotid results in creation of a complex facial defect often in combination with facial nerve palsy. This study presents the authors' experience using vastus lateralis muscle as a chimeric flap with anterolateral thigh flap to allow both soft-tissue reconstruction and dynamic reanimation in radical ... Read more >>

Plast. Reconstr. Surg. (Plastic and reconstructive surgery)
[2019, 144(5):853e-863e]

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Polytetrafluoroethylene granuloma-associated facial palsy following microvascular decompression.

Adeeb Derakhshan, Jacqueline J Greene, Shekhar K Gadkaree, Jenny X Chen, Nate Jowett, Tessa A Hadlock,

OBJECTIVE:Microvascular decompression (MVD) may be employed in the management of hemifacial spasm (HFS), wherein a pledget of polytetrafluoroethylene (i.e., Teflon, Chemours, Wilmington DE) is sometimes introduced to separate an offending vessel from the cisternal segment of facial nerve. Rarely, Teflon may cause a granulomatous reaction resulting in nerve palsy. We ... Read more >>

Laryngoscope (The Laryngoscope)
[2019, :]

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Functional results after facial reanimation in iatrogenic facial palsy.

Eva Györi, Marcel Mayrhofer, Benedikt M Schwaiger, Igor Pona, Chieh Han Tzou,

BACKGROUND:Iatrogenic facial nerve injury is a common cause of long-standing facial palsy. This study aimed to assess functional results after facial reanimation in iatrogenic facial palsy and to determine correlating patient factors. METHODS:The data of 128 iatrogenic facial palsy patients were analyzed for this case series. Inclusion criteria for assessment ... Read more >>

Microsurgery (Microsurgery)
[2020, 40(2):145-153]

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Depressor Reanimation After Facial Nerve Paralysis.

Samer Bassilios Habre, Benjamin J Googe, James B Depew, Robert D Wallace, Petros Konofaos,

Facial expressions play a fundamental role in interpersonal communication and interaction; consequently, facial palsy has profound effects on the quality of life of patients. Reanimation of lower lip depressors is rarely addressed during facial reanimation but is as important as treating the eye sphincter and the lip levators. Depressors of ... Read more >>

Ann Plast Surg (Annals of plastic surgery)
[2019, 82(5):582-590]

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Effectiveness and safety of the use of gracilis muscle for dynamic smile restoration in facial paralysis: A systematic review and meta-analysis.

Mélissa Roy, Joseph P Corkum, Prakesh S Shah, Gregory H Borschel, Emily S Ho, Ronald M Zuker, Kristen M Davidge,

BACKGROUND:Smiling is a fundamental component of social interactions. Significant challenges arise for patients with facial palsy. One of the key procedures for dynamic smile restoration is the microneurovascular transfer of a gracilis muscle. We aimed to assess the effectiveness and safety of dynamic smile reanimation surgery using the free gracilis ... Read more >>

J Plast Reconstr Aesthet Surg (Journal of plastic, reconstructive & aesthetic surgery : JPRAS)
[2019, 72(8):1254-1264]

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Reuse of the Masseteric Nerve for Dynamic Reanimation in Facial Palsy Patients with Previously Failed One-Stage Dynamic Smile Reanimation.

Ahneesh J Mohanty, Austin Hembd, Nikhitha Thrikutam, Shai M Rozen,

Failed primary dynamic smile reanimation procedures present significant challenges for the patient and surgeon alike. This is particularly true in older patients with a history of previous neck dissection and radiation therapy who underwent previous reconstruction with a free functional muscle transfer innervated with an ipsilateral masseter nerve. The objective ... Read more >>

Plast. Reconstr. Surg. (Plastic and reconstructive surgery)
[2019, 143(2):567-571]

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The Diagnosis and Treatment of Idiopathic Facial Paresis (Bell's Palsy).

Josef Georg Heckmann, Peter Paul Urban, Susanne Pitz, Orlando Guntinas-Lichius, Ildikό Gágyor,

BACKGROUND:Peripheral facial nerve palsy is the most com- mon functional disturbance of a cranial nerve. 60-75% of cases are idiopathic. METHODS:This review is based on a selective literature search proceeding from the current, updated German-language guideline on the diagnosis and treatment of idiopathic facial nerve palsy. RESULTS:The recommended drug treatment ... Read more >>

Dtsch Arztebl Int (Deutsches Arzteblatt international)
[2019, 116(41):692-702]

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Anatomical study of the masseteric and obturator nerves: Application to face transplant and reanimation procedures.

Jose M Lasso, Eva Maranillo, Paula Martinez-Pascual, Ender Goñi, Teresa Vazquez, Jose Sanudo, Aran Pascual-Font,

The masseteric nerve (MN) and the anterior branch of the obturator nerve (ON) that innervate the transferred gracilis muscle have proved highly efficient for reanimating paralyzed facial muscles when muscle transfer is required. Previous researchers have published the total axonal load for myelinated fibers in both nerves. However, the real ... Read more >>

Clin Anat (Clinical anatomy (New York, N.Y.))
[2019, 32(5):612-617]

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