Masseteric nerve transference with sling tendon for symmetry in the restoration of facial paralysis: An effective combination of dynamic and static correction
| Autor: | Carlos Berniz, Bernardo Hontanilla |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Cosmetic appearance Sling (implant) Rehabilitation business.industry Mandibular Nerve medicine.medical_treatment Facial Paralysis Masseteric nerve Plastic Surgery Procedures medicine.disease Smiling Facial paralysis Surgery Tendon Tendons Facial Nerve medicine.anatomical_structure medicine Humans Symmetry (geometry) business Nerve Transfer Rest (music) |
| Zdroj: | Journal of Plastic, Reconstructive & Aesthetic Surgery. 75:767-772 |
| ISSN: | 1748-6815 |
| DOI: | 10.1016/j.bjps.2021.09.046 |
| Popis: | Summary Masseteric nerve transposition has shown to be an effective technique for the treatment of facial paralysis. Due to its low morbidity at the donor site, its consistent anatomy and one-stage operation, it constitutes a reliable option for both complete and incomplete facial paralysis. Masseteric nerve transference has proved to achieve good commissural excursion and dynamic symmetry. However, some patients with heavy face and complete facial paralysis have an incomplete recovery after surgery characterized by a symmetrical smile with asymmetry at rest, which affects the cosmetic appearance. For these patients we propose a novel combination of masseteric nerve transposition for the dynamic rehabilitation of the smile with a tendon sling suspension to create symmetry at rest. Detailed description of the surgical technique is given and results after using it with eight patients are shown with good functional and aesthetic satisfaction. Combination of both dynamic and static techniques for complete facial paralysis rehabilitation may provide adequate symmetry with the contralateral healthy side both at rest and when smiling. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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