The pedicled masseter muscle transfer for smile reconstruction in facial paralysis: Repositioning the origin and insertion

Matic, Damir B.; Yoo, John

doi:10.1016/j.bjps.2012.03.021

Cited by 13 publications

(16 citation statements)

References 17 publications

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“…The 49 studies found to include an objective instrument of analysis after dynamic facial reanimation were included in the analysis (Table). Of these 49 studies, which included a total of 1898 treated patients, the number of patients treated ranged from 2 to 655 (median, 18). All studies were retrospective.…”

Section: Resultsmentioning

confidence: 99%

Use of Objective Metrics in Dynamic Facial Reanimation

Revenaugh

Smith

Plitt

et al. 2018

JAMA Facial Plast Surg

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IMPORTANCE Facial nerve deficits cause significant functional and social consequences for those affected. Existing techniques for dynamic restoration of facial nerve function are imperfect and result in a wide variety of outcomes. Currently, there is no standard objective instrument for facial movement as it relates to restorative techniques. OBJECTIVETo determine what objective instruments of midface movement are used in outcome measurements for patients treated with dynamic methods for facial paralysis.DATA SOURCES Database searches from January 1970 to June 2017 were performed in PubMed, Embase, Cochrane Library, Web of Science, and Scopus. Only English-language articles on studies performed in humans were considered. The search terms used were ("Surgical Flaps"[Mesh] OR "Nerve Transfer"[Mesh] OR "nerve graft" OR "nerve grafts") AND (face [mh] OR facial paralysis [mh]) AND (innervation [sh]) OR ("Face"[Mesh] OR facial paralysis [mh]) AND (reanimation [tiab]).STUDY SELECTION Two independent reviewers evaluated the titles and abstracts of all articles and included those that reported objective outcomes of a surgical technique in at least 2 patients. MAIN OUTCOMES AND MEASURESThe presence or absence of an objective instrument for evaluating outcomes of midface reanimation. Additional outcome measures were reproducibility of the test, reporting of symmetry, measurement of multiple variables, and test validity. RESULTSOf 241 articles describing dynamic facial reanimation techniques, 49 (20.3%) reported objective outcome measures for 1898 patients. Of those articles reporting objective measures, there were 29 different instruments, only 3 of which reported all outcome measures. CONCLUSIONS AND RELEVANCEAlthough instruments are available to objectively measure facial movement after reanimation techniques, most studies do not report objective outcomes. Of objective facial reanimation instruments, few are reproducible and able to measure symmetry and multiple data points. To accurately compare objective outcomes in facial reanimation, a reproducible, objective, and universally applied instrument is needed.

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Section: Resultsmentioning

confidence: 99%

Use of Objective Metrics in Dynamic Facial Reanimation

Revenaugh

Smith

Plitt

et al. 2018

JAMA Facial Plast Surg

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“…While regional muscle transfer is reliable and provides the immediate return of movement without a spontaneous mimetic nature, it usually requires multiple surgery [8, 9]. Although these methods are often unable to restore full maxillofacial integrity and balance the facial movements, they are options for patients not eligible for free micro-neurovascular reconstruction [10, 11]. Free flaps can provide synchronous, mimetic movement, but a prolonged healing time may be required [8].…”

Section: Discussionmentioning

confidence: 99%

An anterolateral thigh chimeric flap for dynamic facial and esthetic reconstruction after oncological surgery in the maxillofacial region: a case report

et al. 2018

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BackgroundThe surgical management of malignant tumors in the head and neck region often leads to functional and esthetic defects that impair the quality of life of the patients. Reconstruction can be solved with prostheses in these cases, but various types of microsurgical free flaps can provide a better clinical outcome.Case presentationIn this case report, the tumor and parts of the involved facial muscles and nerve were excised surgically from a 42-year-old patient after a third relapse of basal cell carcinoma in the left midface. The tissue defect was reconstructed with an anterolateral thigh chimeric type I fascio-myocutaneous flap, where the facial palsy was restored with a segmental branch of the femoral nerve and the involved mouth corner elevator muscles for the segmented vastus lateralis muscle. The 6-month follow-up revealed a good esthetic outcome, the soft tissue defect reconstruction with good functional activity of the reconstructed facial nerve and with acceptable mimic movements. There has been no subsequent recurrence.ConclusionsIt is concluded that the chimeric type I anterolateral fascio-myocutaneous free flap can offer a good option for the esthetic and functional reconstruction of an extensive tissue defect in the maxillofacial region.

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“…This includes hollowing over the border of the mandible and an undesirable lateral vector of pull on the oral commissure. Refinements of this procedure by mobilization of both the insertion and origin of the masseter are currently under investigation to improve direction of pull on the oral commissure [62].…”

Section: Lower Facementioning

confidence: 99%

Facial paralysis reconstruction in children and adolescents with central nervous system tumors

Panossian

2014

Journal of Pediatric Rehabilitation Medicine

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Facial paralysis remains a vexing problem in the treatment of posterior cranial fossa tumors in children. Fortunately, current techniques are available to reconstruct the paralyzed face in restoring balance, symmetry, and amelioration of functional sequelae. The restoration of structure and function of the paralyzed face is tantamount to proper social integration and psychosocial rehabilitation. In addition, the facial nerve is important in preventing drying of the eyes, drooling, and speech abnormalities, among other functions. The most visible evidence of facial paralysis is stark asymmetry, especially with animation. This is perhaps the most troubling aspect of facial paralysis and the one that leads to the greatest amount of psychosocial stress for the child and family members. Management strategies include early and late intervention. Early reconstructive goals focus on preservation and strengthening of intact motor end plates through native stimulatory pathways. Late reconstructive efforts are centered on surgically reconstructing permanently lost function based on each third of the face. Use of adjunct modalities such as chemical or surgical denervation and myectomies are also critical tools in restoring symmetry. Physical therapy plays a large role in both early and late facial nerve paralysis in optimizing cosmetic and functional outcome.

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The pedicled masseter muscle transfer for smile reconstruction in facial paralysis: Repositioning the origin and insertion

Cited by 13 publications

References 17 publications

Use of Objective Metrics in Dynamic Facial Reanimation

Use of Objective Metrics in Dynamic Facial Reanimation

An anterolateral thigh chimeric flap for dynamic facial and esthetic reconstruction after oncological surgery in the maxillofacial region: a case report

Facial paralysis reconstruction in children and adolescents with central nervous system tumors

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