Facial reanimation using free partial latissimus dorsi muscle transfer: Single versus dual innervation method

Park, Jun Ho; Park, Seong Oh; Chang, Hak

doi:10.1016/j.jcms.2022.09.001

Cited by 6 publications

(3 citation statements)

References 30 publications

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“…While the majority of studies analyze free functional muscle flap transfer using the gracilis muscle, Park and colleagues 41 analyzed the outcomes of facial reanimation using free partial LD muscle in 21 patients with facial paralysis. The authors concluded that dual innervation of the masseter nerve and the contralateral buccal branch of the facial nerve achieved the optimal outcomes in relation to achieving both voluntary and spontaneous smile, whereas single innervation of the masseter nerve only did not allow for the occurrence of spontaneous smile.…”

Section: Discussionmentioning

confidence: 99%

“…The authors concluded that dual innervation of the masseter nerve and the contralateral buccal branch of the facial nerve achieved the optimal outcomes in relation to achieving both voluntary and spontaneous smile, whereas single innervation of the masseter nerve only did not allow for the occurrence of spontaneous smile. 41 Sakuma et al 42 also analyzed an alternative to the gracilis muscle, harvesting two superficial subslips of the serratus anterior muscle. The results showed that voluntary muscle contraction was achieved 4 months postsurgery, and a spontaneous smile was possible at 8 months postsurgery which became symmetrical at 18 months postsurgery.…”

Section: Discussionmentioning

confidence: 99%

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Outcomes of Free Flap Transfer in Facial Reanimation: A Review

Shamil,

Tan,

Grobbelaar

2024

Facial Plast Surg

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Free functional muscle transfer is is an option for reanimating the face in chronic facial nerve paralysis. The optimal outcome in these patients is the ability to restore a spontaneous smile in response to emotion. We discuss the role of free functional muscle transfer in facial paralysis treatment, the choices of nerve used in reconstruction surgery, and the application of different types of muscle flaps in facial reanimation. In this paper, we review the relevant and up-to-date academic literature regarding the outcomes of free functional muscle flap transfer in facial paralysis patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Outcomes of Free Flap Transfer in Facial Reanimation: A Review

Shamil,

Tan,

Grobbelaar

2024

Facial Plast Surg

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“…63 Other free muscle transfers using latissimus dorsi muscle and serratus anterior have also been described. 65,66 Free muscle transfers can be either a single innervation 64 (ipsilateral motor nerve use, such as the masseteric nerve) or a dual innervation 67 (contralateral cross over graft, such as the contralateral facial nerve). Combination muscle flaps have also been described with promising results and may be performed as single-or dual-stage procedures.58, 68 Surgical outcomes are enhanced by ongoing rehabilitation and results may take up to 2 years to achieve.…”

Section: Surgical Reanimationmentioning

confidence: 99%