Dynamic reanimation for facial palsy: an overview

Coyle, Margaret; Godden, Andrew; Brennan, Peter A.; Cascarini, Luke; Coombes, Darryl; Kerawala, Cyrus; McCaul, James; Godden, Daryl

doi:10.1016/j.bjoms.2012.12.007

Cited by 16 publications

(9 citation statements)

References 36 publications

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“…The aim of dynamic facial reconstruction is to achieve a symmetrical and coordinated smile, an enhanced cheek tone, improved speech and the ability to eat [7]. Coyle et al published an algorithm for the therapeutic approaches to facial palsy at different stages after the neural impairment, but possible soft tissue defects were not considered [7]. Chuang discussed the therapeutic possibilities of long-standing facial paralysis, emphasizing the feasibility of regional muscle and microvascular free tissue transfer.…”

Section: Discussionmentioning

confidence: 99%

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An anterolateral thigh chimeric flap for dynamic facial and esthetic reconstruction after oncological surgery in the maxillofacial region: a case report

et al. 2018

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BackgroundThe surgical management of malignant tumors in the head and neck region often leads to functional and esthetic defects that impair the quality of life of the patients. Reconstruction can be solved with prostheses in these cases, but various types of microsurgical free flaps can provide a better clinical outcome.Case presentationIn this case report, the tumor and parts of the involved facial muscles and nerve were excised surgically from a 42-year-old patient after a third relapse of basal cell carcinoma in the left midface. The tissue defect was reconstructed with an anterolateral thigh chimeric type I fascio-myocutaneous flap, where the facial palsy was restored with a segmental branch of the femoral nerve and the involved mouth corner elevator muscles for the segmented vastus lateralis muscle. The 6-month follow-up revealed a good esthetic outcome, the soft tissue defect reconstruction with good functional activity of the reconstructed facial nerve and with acceptable mimic movements. There has been no subsequent recurrence.ConclusionsIt is concluded that the chimeric type I anterolateral fascio-myocutaneous free flap can offer a good option for the esthetic and functional reconstruction of an extensive tissue defect in the maxillofacial region.

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Section: Discussionmentioning

confidence: 99%

“…The dynamic reconstruction of facial palsy demands careful patient selection and an appropriate surgical technique if excellent results are to be expected [7]. A number of studies have revealed that significantly better functional results are achieved if reconstruction surgery is performed within 2 years [19, 20].…”

Section: Discussionmentioning

confidence: 99%

An anterolateral thigh chimeric flap for dynamic facial and esthetic reconstruction after oncological surgery in the maxillofacial region: a case report

et al. 2018

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“…Static reanimation includes gold or platinum weights or springs to aid upper eyelid closure and resuspension of the oral commissure to deep temporal fascia with palmaris longus, fascia lata, acellular dermal matrix, PTFE or polypropylene [31]. Dynamic reanimation involves either the reinnervation, usually with nerve grafts or the interposition of innervated muscle, commonly temporalis transposition or a gracilis neuromuscular free flap [32].…”

Section: Buccal Mucosa and Cheekmentioning

confidence: 99%

Soft Tissue Reconstruction of the Maxillofacial Region

Turner¹,

Collin²,

Fernandes

2021

Oral and Maxillofacial Surgery for the Clinician

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Arguably the greatest challenge within Oral and Maxillofacial Surgery is reconstruction following major trauma or oncologic ablative surgery that restores the patient’s pre-morbid quality of life. Satisfactory reconstruction of the maxillofacial region needs to address both cosmetic and often functional concerns beyond those encountered at other sites in the body. Even small facial defects can lead to cosmetic deformity that impacts significantly on a patient’s psychosocial well-being if not reconstructed appropriately. There have been many technological advances over the last few decades, particularly with respect to free tissue transfer and transplantation. In contrast, a number of techniques have ancient origins that have been refined over the years. Many defects will have multiple reconstructive options and a number of factors require consideration to decide which are appropriate for an individual patient. In this chapter anatomical units of the oral cavity (lip, cheek, tongue, floor of mouth and palate), and face (forehead, orbit, nose, cheek and ear) are considered in turn, with reconstructive options presented from simple to complex.

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“…The appropriate course of action is determined by the source of the paralysis. Treatment must, however, be tailored to the patient's life expectancy, age, preferences, and cosmetic or functional deficiencies [29].…”

Section: Patient Evaluationmentioning

confidence: 99%

Dynamic Reconstruction for Facial Nerve Paralysis

Zahiry¹,

Alomari

Alharbi

et al. 2021

JPRI

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Dynamic and static reconstruction procedures are employed for facial reanimation in patients suffering from facial nerve paralysis. Denervation and paralysis of the facial nerves causes considerable psychological and functional damage. Facial paralysis can affect facial expressiveness, communication, smile symmetry, eye protection, and speech competence. Due to their presumed poor prognosis, patients requiring facial nerve repair in a head and neck cancer practice are historically the least likely to receive a nerve graft. Dynamic reconstruction, on the other hand, is the gold standard in neurotology since patients are unlikely to die from their underlying condition. Even with malignant pathology, extended preoperative palsy, proximal nerve injury location, radiation, or long graft length, the current series supports the use of dynamic reconstruction. Dynamic facial reconstruction should be preformed in most cases unless there’s health risk of the method.

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Dynamic reanimation for facial palsy: an overview

Cited by 16 publications

References 36 publications

An anterolateral thigh chimeric flap for dynamic facial and esthetic reconstruction after oncological surgery in the maxillofacial region: a case report

An anterolateral thigh chimeric flap for dynamic facial and esthetic reconstruction after oncological surgery in the maxillofacial region: a case report

Soft Tissue Reconstruction of the Maxillofacial Region

Dynamic Reconstruction for Facial Nerve Paralysis

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