Lengthening Temporalis Myoplasty Versus Hypoglossal-Facial Nerve Coaptation in the Surgical Rehabilitation of Facial Palsy

Kecskes, Gabriella; Herman, Philippe; Kania, Romain; Salvan, D.; Bakkouri, W. El; Huy, P. Tran Ba; Sauvaget, E.

doi:10.1097/mao.0b013e318194f871

Cited by 12 publications

(8 citation statements)

References 34 publications

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“…The study by Ryzenman et al did not include any treatment for patients with a PFP, and the study of Leong and Lesser was a survey among PFP patients. In total, 12 studies were included in this systematic review . Due to heterogeneity of patient populations, we performed a meta‐analysis of the surgical studies using the FaCE scale as a QoL measurement.…”

Section: Resultsmentioning

confidence: 99%

“…In total, 12 studies were included in this systematic review. [15][16][17][18][19][20][21][22][23][24][25][26] Due to heterogeneity of patient populations, we performed a meta-analysis of the surgical studies using the FaCE scale as a QoL measurement. Figure 1 summarizes the search results.…”

Section: Resultsmentioning

confidence: 99%

“…Kecskes et al compared the results of two techniques of facial rehabilitation on the patient self‐assessment of QOL in 42 patients with facial palsy. Patient self‐assessment of QoL was measured using an institution's questionnaire, which evaluated disability in professional and private life.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 12 included studies, nine had a prospective study design, [14][15][16][17][18][19][20][21][22] and three had a retrospective study design. [23][24][25] In total, one study reported the effect of mime therapy (form of physical therapy) on QoL, 23 one study reported the effect of corticosteroids, 21 two studies reported the effect of treatment with botulinum toxin injections, 20,22 and eight studies reported the effect of surgical procedures. [15][16][17][18][19][20][21][22][23][24][25][26]…”

Section: Study Design and Treatment Modalitiesmentioning

confidence: 99%

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Quality of life before and after different treatment modalities in peripheral facial palsy: A systematic review

et al. 2016

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study Design and Treatment Modalitiesmentioning

confidence: 99%

See 2 more Smart Citations

Quality of life before and after different treatment modalities in peripheral facial palsy: A systematic review

et al. 2016

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“…Dynamic facial reanimation is extremely challenging, and LTM is a unique and definite facial reanimation procedure that involves the application of the entire temporal muscle tendon to the nasolabial fold 6,7,13 . Because of its secure and early movement of transfer muscle, this procedure could be a good surgical option for middleaged to older patients 6 .…”

Section: Discussionmentioning

confidence: 99%

Modified Lengthening Temporalis Myoplasty Using an Intraoral Approach

Hayashi

Natori²,

Suda³

et al. 2021

Journal of Craniofacial Surgery

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Background: Lengthening temporalis myoplasty (LTM) is a unique and definite facial reanimation procedure that involves inserting the whole temporal tendon directly into the nasolabial fold. However, the nasolabial fold incision remains one of the difficulties of this procedure, particularly in young or female patient. To avoid the need for this incision, the authors developed an intraoral approach to manipulate the temporal muscle tendon toward the nasolabial fold. in this study, we describe the details of this procedure. Method: The authors performed their intraoral approach procedure in 5 patients with established complete facial paralysis. instead of making an incision at the nasolabial fold to approach the coronoid process, the authors made the incision at the buccal mucosa. The results were evaluated both subjectively and objectively. Results: The authors achieved facial reanimation without leaving any obvious scar on the face or neck and the effect of static reconstruction is obvious, even immediately after the surgery. All the patients obtained good facial movement within 4 months (2.5 months in average), and improved all evaluated parameters postoperatively. No infections or other major complications were reported following surgery; however, 1 patient developed a slight dimple that required revision. Discussion: The authors could advance temporal tendon toward nasolabial fold firmly obtaining sufficient surgical field similar to that of nasolabial fold incision, and achieved fairly good results without an obvious scar on the face.Establishing LTM without nasolabial fold incision, we could expand the indication of LTM more widely, and it could be more familiar procedure for smile reanimation in all generation.

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Quality of life after surgical treatments for facial palsy: A systematic review and meta‐analysis

van der Lely,

Nieuwdorp,

Smits

et al. 2024

Head & Neck

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BackgroundFacial palsy profoundly affects patients' quality of life (QoL). We evaluated the effect of various surgical procedures on QoL using patient‐reported outcome measures (PROMs) to provide evidence‐based recommendations for improved care.MethodsEmbase, Medline, Web of Science, Cochrane, and CINAHL were searched for studies on QoL in patients with facial palsy who had undergone reconstructive surgery with preoperative and postoperative data from validated PROMs. After conducting the quality assessment, data were subtracted from the articles. Meta‐analyses of subgroups were performed when study outcomes where compatible.ResultsIncorporating 24 studies (522 patients), our systematic review revealed consistent and significant QoL improvements following diverse reconstructive surgical procedures.ConclusionsOur systematic review and meta‐analysis showed the positive effects of different reconstructive surgical procedures on QoL of patients with facial palsy. These results support clinicians to better inform patients about their potential outcomes, optimizing informed and shared decision‐making and ultimately improving overall QoL in patients with facial palsy.

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Lengthening Temporalis Myoplasty Versus Hypoglossal-Facial Nerve Coaptation in the Surgical Rehabilitation of Facial Palsy

Abstract: This study revealed XII-VII coaptation with better results than myoplasty. End-to-end coaptation should be restricted to patients with a strong emotional expression or those with a long-standing facial palsy because it provides a strong muscle tone but significant synkinesis.

Cited by 12 publications

References 34 publications

Quality of life before and after different treatment modalities in peripheral facial palsy: A systematic review

Quality of life before and after different treatment modalities in peripheral facial palsy: A systematic review

Modified Lengthening Temporalis Myoplasty Using an Intraoral Approach

Quality of life after surgical treatments for facial palsy: A systematic review and meta‐analysis

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