Dual Innervation of Free Functional Muscle Flaps in Facial Paralysis.
| Autor: | Klebuc MJ; Institute for Reconstructive Surgery, Houston Methodist Hospital, 6560 Fannin Street, Suite #2200, Houston, TX 77030, USA; Weill Cornell School of Medicine, 1300 York Avenue, New York, NY 10065, USA. Electronic address: mklebuc@msn.com., Xue AS; Institute for Reconstructive Surgery, Houston Methodist Hospital, 6560 Fannin Street, Suite #2200, Houston, TX 77030, USA., Doval AF; Institute for Reconstructive Surgery, Houston Methodist Hospital, 6560 Fannin Street, Suite #2200, Houston, TX 77030, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Facial plastic surgery clinics of North America [Facial Plast Surg Clin North Am] 2021 Aug; Vol. 29 (3), pp. 431-438. |
| DOI: | 10.1016/j.fsc.2021.03.006 |
| Abstrakt: | Dual innervation in free muscle flap facial reanimation has been used to create a functional synergy between the powerful commissure excursion that can be achieved with the masseter nerve and the spontaneity that can be derived from a cross-face nerve graft. The gracilis has been the most frequently used muscle flap, and multiple combinations of neurorrhaphies have been described, including the masseter to the obturator (end-to-end) combined with a cross-face nerve graft to the obturator (end-to-side) and vice versa. Single and staged approaches have been reported. Minimally, dual innervation is as effective as using the motor nerve to masseter alone. (Copyright © 2021 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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