Comparison of hemihypoglossal-facial nerve transposition with a cross-facial nerve graft and muscle transplant for the rehabilitation of facial paralysis using the Facial clima method

Hontanilla, Bernardo; Vila, Antonio

doi:10.3109/2000656x.2011.644716

Cited by 13 publications

(14 citation statements)

References 29 publications

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“…The 49 studies found to include an objective instrument of analysis after dynamic facial reanimation were included in the analysis (Table). Of these 49 studies, which included a total of 1898 treated patients, the number of patients treated ranged from 2 to 655 (median, 18). All studies were retrospective.…”

Section: Resultsmentioning

confidence: 99%

Use of Objective Metrics in Dynamic Facial Reanimation

Revenaugh

Smith

Plitt

et al. 2018

JAMA Facial Plast Surg

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IMPORTANCE Facial nerve deficits cause significant functional and social consequences for those affected. Existing techniques for dynamic restoration of facial nerve function are imperfect and result in a wide variety of outcomes. Currently, there is no standard objective instrument for facial movement as it relates to restorative techniques. OBJECTIVETo determine what objective instruments of midface movement are used in outcome measurements for patients treated with dynamic methods for facial paralysis.DATA SOURCES Database searches from January 1970 to June 2017 were performed in PubMed, Embase, Cochrane Library, Web of Science, and Scopus. Only English-language articles on studies performed in humans were considered. The search terms used were ("Surgical Flaps"[Mesh] OR "Nerve Transfer"[Mesh] OR "nerve graft" OR "nerve grafts") AND (face [mh] OR facial paralysis [mh]) AND (innervation [sh]) OR ("Face"[Mesh] OR facial paralysis [mh]) AND (reanimation [tiab]).STUDY SELECTION Two independent reviewers evaluated the titles and abstracts of all articles and included those that reported objective outcomes of a surgical technique in at least 2 patients. MAIN OUTCOMES AND MEASURESThe presence or absence of an objective instrument for evaluating outcomes of midface reanimation. Additional outcome measures were reproducibility of the test, reporting of symmetry, measurement of multiple variables, and test validity. RESULTSOf 241 articles describing dynamic facial reanimation techniques, 49 (20.3%) reported objective outcome measures for 1898 patients. Of those articles reporting objective measures, there were 29 different instruments, only 3 of which reported all outcome measures. CONCLUSIONS AND RELEVANCEAlthough instruments are available to objectively measure facial movement after reanimation techniques, most studies do not report objective outcomes. Of objective facial reanimation instruments, few are reproducible and able to measure symmetry and multiple data points. To accurately compare objective outcomes in facial reanimation, a reproducible, objective, and universally applied instrument is needed.

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Section: Resultsmentioning

confidence: 99%

Use of Objective Metrics in Dynamic Facial Reanimation

Revenaugh

Smith

Plitt

et al. 2018

JAMA Facial Plast Surg

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“…Efforts to compare different reanimation techniques have already been conducted by several authors. 5,10,16,[19][20][21] Regarding neurotization of free gracilis transfer, Bae et al conducted a comparative study of cross-facial nerve grafting versus masseteric nerve in children. In their work, the authors conclude that with the masseteric nerve, greater commissural excursion and symmetry are achieved, suggesting that such technique provides a commissure excursion in the range of normal.…”

Section: Discussionmentioning

confidence: 99%

“…[12][13][14] In 2008, we developed an automatic, reproducible, easy, fast, quantitative method called FACIAL CLIMA, which provides dynamic three-dimensional information that allows comparison of results obtained after reanimation with different techniques. 15,16 The objective of this study is to compare commissural displacement and velocity of muscle contraction of free gracilis transfer neurotized to either cross-facial nerve grafting or masseteric nerve, using the FACIAL CLIMA system.…”

Section: Facial Reanimation With Gracilis Musclementioning

confidence: 99%

Facial Reanimation with Gracilis Muscle Transfer Neurotized to Cross-Facial Nerve Graft versus Masseteric Nerve

Hontanilla

Marré

Cabello

2013

Plastic &Amp; Reconstructive Surgery

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“…Like other authors, the gracilis muscle is our preferred option. [36][37][38] After harvesting the flap, the most powerful branch of the obturator nerve should be used for the nerve coaptation. If two or more branches have the same strength, we should include all of them in our nerve coaptation to ensure the correct reinnervation of the flap.…”

Section: Videomentioning

confidence: 99%

Maximizing the Smile Symmetry in Facial Paralysis Reconstruction: An Algorithm Based on Twenty Years' Experience

et al. 2021

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Over the last two decades, the senior author (B.H.) has had an extensive experience with facial paralysis reconstruction. During this period, the techniques have evolved substantially based on the experience and after observing and analyzing the surgical outcomes. The purpose of this article is to relay the lessons learned from the 20 years' experience and suggest an algorithm. In this retrospective study, we have included 343 cases of facial paralysis cases. Complete facial paralysis cases were 285 and 58 were incomplete facial paralyses, both requiring surgical procedures. Complete facial paralyses were divided in to short term (n = 83) and long term (n = 202). In total, 58% of the patients were women and 42% were men. The age range was 6 to 82 years. The techniques employed were direct suture, nerve grafts, cross-facial nerve grafts (CFNGs), masseteric-to-facial nerve transference, hypoglossal-to-facial nerve transference, free muscle transplants, and lengthening temporal myoplasty to achieve the best symmetry after reanimation of unilateral, bilateral, complete, and incomplete facial paralysis. The type of paralysis, objective measurements, the personal patient's smile, and the gender are key concepts to be considered before scheduling a dynamic facial paralysis reconstruction. For unilateral facial paralysis, the time of onset, the type of paralysis, the patient's comorbidities, and the healthy side status are some of the determining factors when selecting the correct technique. The preferred techniques for unilateral facial paralysis are direct repair, CFNG, masseteric-to-facial transposition, and free gracilis transfer. For incomplete facial paralysis, the masseteric-to-facial nerve transference is preferred. In bilateral facial paralysis, bilateral free gracilis transfer is performed in two stages using the nerve of the masseter muscle as the source of innervation. The authors provide an algorithm which simplifies facial paralysis reconstruction to achieve the greatest facial symmetry while thinking about the potential comorbidities and developing spontaneity smile according to the gender of the patient.

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Comparison of hemihypoglossal-facial nerve transposition with a cross-facial nerve graft and muscle transplant for the rehabilitation of facial paralysis using the Facial clima method

Cited by 13 publications

References 29 publications

Use of Objective Metrics in Dynamic Facial Reanimation

Use of Objective Metrics in Dynamic Facial Reanimation

Facial Reanimation with Gracilis Muscle Transfer Neurotized to Cross-Facial Nerve Graft versus Masseteric Nerve

Maximizing the Smile Symmetry in Facial Paralysis Reconstruction: An Algorithm Based on Twenty Years' Experience

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