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- Title
Twenty-Five-Year Outcomes of Treatment of Irreversible Facial Paralysis with Gillies and McLaughlin Techniques.
- Authors
Schlosshauer, Torsten; Kueenzlen, Lara; Kuehn, Shafreena; Sader, Robert; Rieger, Ulrich M.; Rieger, Ulrich M
- Abstract
<bold>Introduction: </bold>Data on treatment outcomes of surgical correction of irreversible facial paralysis is rare and long-term outcomes are scarce in the literature, making treatment choices difficult for operating surgeons.<bold>Objective: </bold>This study evaluated 25-year outcomes of treatment of irreversible facial paralysis with Gillies and McLaughlin techniques with a focus on general functional and age-related functional outcomes.<bold>Methods: </bold>Data of all patients who underwent surgical correction of facial paralysis using either Gillies or McLaughlin procedure between 1994 and 2018 were included in the analysis of this retrospective, single-centre study (n = 154).<bold>Results: </bold>Gillies surgery was performed on 12 and McLaughlin technique on 33 patients. Gillies and McLaughlin surgeries were associated with high patient satisfaction (75-86%), low complication rates (8-24%), and achievement of full or partial eyelid closure in 75% as well as smile reanimation in 97% of patients operated. Achievement of resting facial symmetry was low for both techniques and ranged from 27 to 46%. Age-related functional outcomes were generally superior in middle-aged patients (21-59 years) with fewer complications and reoperations compared to younger and older patients.<bold>Conclusions: </bold>Surgical correction with Gillies or McLaughlin dynamic muscle support techniques yielded good clinical results with high patient satisfaction and should, therefore, be included as a treatment option for facial reanimation of irreversible facial paralysis. Patient age may play a role in treatment outcomes and reoperation and complication rates and should be taken into careful consideration during treatment planning.
- Subjects
FACIAL paralysis; TREATMENT effectiveness; PATIENT satisfaction; OLDER patients; BLEPHAROPLASTY; PLASTIC surgery; RETROSPECTIVE studies; FACIAL expression
- Publication
ORL, 2020, Vol 82, Issue 5, p245
- ISSN
0301-1569
- Publication type
journal article
- DOI
10.1159/000507634