Age-dependent outcomes of Gillies and McLaughlin's dynamic muscle support in irreversible facial paralysis with up to 25-year follow-up
| Autor: | Lara Kueenzlen, Shafreena Kuehn, Torsten Schlosshauer, Ulrich M. Rieger, Robert Sader |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Facial Paralysis Age dependent Temporal Muscle 03 medical and health sciences 0302 clinical medicine Patient satisfaction Age groups Medicine Humans In patient Aged Retrospective Studies business.industry 030206 dentistry Surgical correction Middle Aged Plastic Surgery Procedures medicine.disease Facial paralysis Surgery Treatment Outcome Otorhinolaryngology 030220 oncology & carcinogenesis Oral Surgery Complication business Facial symmetry Follow-Up Studies |
| Zdroj: | Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. 48(9) |
| ISSN: | 1878-4119 |
| Popis: | The purpose of this study was to analyse the long-term outcomes of Gillies and McLaughlin's dynamic muscle support in patients with irreversible facial paralysis with regard to age-dependent outcomes of three different age groups. A retrospective single-centre study of 154 patients with surgical correction of irreversible facial paralysis that underwent either Gillies procedure or McLaughlin or a combination of both techniques between 1994-2018 was conducted. Gillies and McLaughlin's combination was performed in 69 cases and was the most commonly used procedure in middle-aged and older patients. Operating duration and reoperation rates were highest in older patients. Comparison of middle-aged patients regarding the aspects patient satisfaction (p=1), complication rates (p=0.759) and reoperation rates (p=0.669) were all non-significant. Comparison of resting facial symmetry showed a trend towards significance at p=0.064 for patients aged 60 and above. Patient satisfaction was high at >77% for all three age groups and overall complication rates ranged from 0-14%. Facial reanimation of irreversible facial paralysis with Gillies or McLaughlin's dynamic muscle support or a combination of the two techniques should be considered for patients of all ages. A standardized outcome measurement is needed for comparability between reanimation techniques. |
| Databáze: | OpenAIRE |
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