Involuntary Movement during Mastication in Patients with Long-Term Facial Paralysis Reanimated with a Partial Gracilis Free Neuromuscular Flap Innervated by the Masseteric Nerve

Rozen, Shai M.; Harrison, Bridget

doi:10.1097/prs.0b013e318290f644

Cited by 28 publications

(13 citation statements)

References 10 publications

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“…If we look hard enough, we are likely to find some excess movement in all patients who successfully undergo this procedure; however, in my experience, and the reported experience of others [50], it is not clinically significant and most, if not all, patients would still have the surgery. If we look hard enough, we are likely to find some excess movement in all patients who successfully undergo this procedure; however, in my experience, and the reported experience of others [50], it is not clinically significant and most, if not all, patients would still have the surgery.…”

Section: Innervation For Neuromuscular Transplantmentioning

confidence: 72%

Masseteric nerve use in facial reanimation

Henstrom

2014

Current Opinion in Otolaryngology & Head and Neck Surgery

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Facial reanimation surgery is a difficult challenge for any reconstructive surgeon. The use of the masseteric nerve branch to reanimate the face is gaining popularity. Its versatility, anatomical location, relative ease of dissection, low morbidity, and high potential for motor neural input make it an excellent option for many different reanimating techniques. The appropriate nerve use should be based on the type of facial paralysis, its timing, and patient factors such as age, prognosis, and desires. Understanding the benefits and potential drawbacks of utilizing this nerve represents an essential piece of knowledge for the facial reanimation surgeon.

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Section: Innervation For Neuromuscular Transplantmentioning

confidence: 72%

Masseteric nerve use in facial reanimation

Henstrom

2014

Current Opinion in Otolaryngology & Head and Neck Surgery

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“…Otro uso muy relevante se le ha dado como músculo funcional, donde no sólo es revascularizado, sino también reinervado con función motora, como es el caso de su aplicación en la reanimación facial 25 . Todo lo anterior lo convierte en técnica de elección en la cirugía reparadora, siendo uno de los colgajos reconstructivos básicos que es indispensable conocer y utilizar pues que nos permitirá obtener resultados exitosos por su gran versatilidad y por su baja morbilidad 26 .…”

Section: Discussionunclassified

Reconstrucción Perineal Inmediata en Extensa Resección Abdominoperineal Rectal

et al. 2015

Rev Chil Cir

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immediate perineal reconstruction after vast rectal abdominoperineal resection background: Buschke-Lowenstein tumor is a benign skin lesion secondary to human papilloma virus infection. It usually appears as an exophytic anogenital mass and may progress to a squamous cell carcinoma. It can be treated with chemo, radio or immunotherapy and occasionally it requires radical surgery. case report: We report a 53 years old male with a perianal lesion lasting 15 years that was treated with chemoradiotherapy that relapsed with malignant transformation. Since the pathological study showed a squamous cell carcinoma, a rectal abdominoperineal resection was planned. The defect that left the surgical procedure was covered with musculocutaneous flaps from gracilis muscle of the thigh.

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“…The degree of involuntary movement varies, although even weak involuntary movement is observed during mastication in many patients. Nevertheless, it is not clinically meaningful and patients do not complain of discomfort [ 38 ].…”

Section: Neuromuscular Transplantationmentioning

confidence: 99%

Masseter nerve-based facial palsy reconstruction

Park

Seong

2020

Arch Craniofac Surg

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Facial paralysis is a devastating disease, the treatment of which is challenging. The use of the masseteric nerve in facial reanimation has become increasingly popular and has been applied to an expanded range of clinical scenarios. However, appropriate selection of the motor nerve and reanimation method is vital for successful facial reanimation. In this literature review on facial reanimation and the masseter nerve, we summarize and compare various reanimation methods using the masseter nerve. The masseter nerve can be used for direct coaptation with the paralyzed facial nerve for temporary motor input during cross-facial nerve graft regeneration and for double innervation with the contralateral facial nerve. The masseter nerve is favorable because of its proximity to the facial nerve, limited donor site morbidity, and rapid functional recovery. Masseter nerve transfer usually leads to improved symmetry and oral commissure excursion due to robust motor input. However, the lack of a spontaneous, effortless smile is a significant concern with the use of the masseter nerve. A thorough understanding of the advantages and disadvantages of the use of the masseter nerve, along with careful patient selection, can expand its use in clinical scenarios and improve the outcomes of facial reanimation surgery.

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Involuntary Movement during Mastication in Patients with Long-Term Facial Paralysis Reanimated with a Partial Gracilis Free Neuromuscular Flap Innervated by the Masseteric Nerve

Abstract: Therapeutic, IV.

Cited by 28 publications

References 10 publications

Masseteric nerve use in facial reanimation

Masseteric nerve use in facial reanimation

Reconstrucción Perineal Inmediata en Extensa Resección Abdominoperineal Rectal

Masseter nerve-based facial palsy reconstruction

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