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- Title
Long-term results of microvascular free-tissue transfer reanimation of the paralyzed face: Three cases.
- Authors
Leonetti, John P.; Zender, Chad A.; Vandevender, Daryl; Marzo, Sam J.
- Abstract
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.
- Subjects
MEDICAL centers; FACIAL nerve surgery; FACIAL dyskinesias; PAROTIDECTOMY; RESUSCITATION
- Publication
ENT: Ear, Nose & Throat Journal, 2008, Vol 87, Issue 4, p226
- ISSN
0145-5613
- Publication type
Article