Temporary Suspension of Acute Facial Paralysis Using the S-S Cable Suture (Medical U&A, Tokyo, Japan)

Abstract

For a treatment of facial paralysis, suture suspension of soft tissue is considered effective due to its less invasiveness and relatively simple technique, with minimal bruising and rapid recovery. However, suture suspension effect may not last for a long period of time. We obtained good outcome with temporary static suture suspension in 5 cases of severe facial paralysis in the intervening period between the onset of paralysis and expected spontaneous recovery. We used the S-S Cable Suture (Medical U&A, Tokyo, Japan), which was based on the modification of previously established method using the Gore-Tex cable suture originally reported by Sasaki et al in 2002. Because of the ease of technique and relatively strong lifting capability of the malar pad, we recommend it as a useful procedure for a patient suffering acute facial paralysis with possible spontaneous recovery for an improved quality of life by the quick elimination of facial distortion.

Tissue Reactions to Cog Structure and Pure Gold in Lifting Threads: A Histological Study in Rats

“…[1][2][3][4] Various types of threads with special designs have recently been invented to attain more reliable and sustained effects or enable minimally-invasive access to the implant. [5][6][7][8] Among the most frequently-utilized materials are cog-type-or barbed-threads (eg, APTOS, Kolster Methods Inc., Corona, California), which have short "wings" projecting from the thread stalk and extending throughout the thread. The durability of each cog thread is thought to result from mechanical force as well as tissue reactions (eg, capsule formation) around the implanted thread.…”