Pilot study on facial palsy correction with suture suspension

Álvaro, María Luisa Navarrete; Knäpper, Jennifer; Boemo, Rafael Luís; Torrent, Lluisa

doi:10.1016/s2173-5735(11)70027-8

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2019

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“…They achieved good aesthetic and functional results and the patient was satisfied. 6 As we described, we also obtained a remarkable result, but unfortunately due to recurrent sutures exposure we had to remove the sutures.…”

Section: Discussionmentioning

confidence: 61%

Bilateral Facial Weakness in a Syndromic Patient: Cadaveric Fascia Lata Graft for Lower Lip Deformity Correction

Silan

Consiglio

Dell’Antonia

et al. 2019

Plastic Surgery Case Studies

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Fazio-Londe syndrome is a rare neurodegenerative disorder caused by riboflavin transporter deficiency. Clinical presentation includes variable hypotonia or muscle weakness, sensory gait ataxia, optic atrophy, sensorineural hearing loss, and bulbar palsies. We described the case of a 37-year-old patient with a suspected Fazio-Londe syndrome who was referred to us for oral incompetence with dysarthria and drooling and impaired facial expression. First, we provided static sling suspension of the lower lip with Silhouette sutures (Silhouette Lift). Due to recurrent sutures exposure, we had to remove the sutures and insert a bilateral fascia lata graft to resuspend the lower lip. Two months postoperatively, the patient had good oral competence and there were no complications. In our opinion, this is a simple and minimally invasive procedure that can restore the right lower lip position in challenging patients.

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Section: Discussionmentioning

confidence: 61%