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Recent News and Articles on the Keywords: surgical technique + paralyzed face + reanimation  Related to the article below (Last Update: 5/5/2008)

Daughters fight disease
DesMoinesRegister.com, IA - Apr 30, 2008
They were told that she could come out of the surgery fine or paralyzed for life. Three of her vertebrae were removed so that the surgical team could gain ...
Source: Google News

[CITATION] … Suspension and Upper Eyelid Gold-Weight Implantation in Rehabilitation of the Paralyzed Face. -
MA Biel - The Laryngoscope, 1995
... A. Biel.MD, PhD INTRODUCTION Rehabilitation and reanimation of the paralyzed face
remains a ... struction.1 Despite advances in surgical techniques, in- cluding ...

[CITATION] Hypoglossal-Facial Nerve Anastomosis for Reinnervation of the Paralyzed Face.
J Conley, DC Baker - Plastic and Reconstructive Surgery, 1979
... nerve grafts can reinnervate the paralyzed side by ... The Millesi technique of fascicular
repair is used ... distinct disadvantages: 1. There is surgical intrusion on ...

Reanimation of the paralyzed face.
WY Hoffman - Otolaryngol Clin North Am, 1992 - ncbi.nlm.nih.gov
Reanimation of the paralyzed face. ... The challenge of reconstruction in the paralyzed
face is to ... been totally restored by any surgical technique that attempts to ...

… Stage Transfer of the Latissimus Dorsi Muscle for Reanimation of a Paralyzed Face: A New Alternative … -
K Harii, H Asato, K Yoshimura, Y Sugawara, T … - Plastic and Reconstructive Surgery, 1998 - plasreconsurg.com
... an established position in the surgical treatment of ... this paper, we report a refined
technique involving one ... of long-standing or irreversible facial paralysis. ...

… for preservation of hypoglossal function: results of delayed treatment with a new technique -
Y Sawamura, H Abe - Neurosurgical Focus, 1996 - thejns.org
... provided satisfactory facial reanimation, with no ... nerve * nerve anastomosis * nerve
reconstruction * surgical technique ... to reanimate the paralyzed face, it is ...

… Microneurovascular Free Abductor Hallucis Muscle Transplantation for Reanimation of Facial Paralysis … -
J Hua, G En-tan, J Zheng-lun, Z Ming-li, L Van - Plastic and Reconstructive Surgery, 1995 - plasreconsurg.com
... facial ex- pressions.1 Many surgical procedures have ... the best opportunity for
reanimation of facial paralysis. ... ter- ritory.2 The operative procedure is usually ...

Cross-Face Nerve Graft with Free-Muscle Transfer for Reanimation of the Paralyzed Face: A … -
PAV Kumar, M Ch, KM Hassan, B Ch - Plastic and Reconstructive Surgery, 2002 - plasreconsurg.com
... muscle atrophy) and unfitness of the patient for surgery. ... cross-face reanimation
of the paralyzed face is an ... believe that the single-stage procedure should be ...

A New Technique for Hypoglossal-Facial Nerve Repair. -
MD Atlas, DSG Lowinger - The Laryngoscope, 1997 - laryngoscope.com
... Citing Articles TOP. A Comparison of Surgical Techniques Used in Dynamic Reanimation
of the Paralyzed Face. Otology & Neurotology. 26(2):284-291, March 2005. ...

A Comparison of Surgical Techniques Used in Dynamic Reanimation of the Paralyzed Face. -
TH Malik, G Kelly, A Ahmed, SR Saeed, RT Ramsden - Otology & Neurotology, 2005 - otology-neurotology.com
... Otology & Neurotology: Volume 26(2) March 2005 pp 284-291. A Comparison of Surgical
Techniques Used in Dynamic Reanimation of the Paralyzed Face. ...

… Hypoglossal to Facial Nerve Anastomosis for Reinnervation of the Paralyzed Face in Patients with … -
MD Cusimano, L Sekhar - Neurosurgery, 1994 - neurosurgery-online.com
... in patients with bilateral facial paralysis; additionally, some ... The technique of
using only a portion of ... Using the surgical microscope for magnification, the ...

Source: Google Scholar

Surgical Technique Helps To Reanimate Paralyzed Faces
A surgical technique known as temporalis tendon transfer, in conjunction with intense physical therapy before and after surgery, may help reanimate the features of those with facial paralysis, according to a report in the July/August issue of Archives of Facial Plastic Surgery, one of the JAMA/Archives journals.

"The rehabilitation of facial paralysis is one of the greatest challenges faced by reconstructive surgeons today," the authors write as background information in the article. "It is an unfortunate fact that there is no ideal procedure that leads to the return of fully normal facial function. Furthermore, every case of facial paralysis is different in the cause of the paralysis, the degree and location of the paralysis and the resulting condition of the facial musculature and surrounding soft tissue envelope." Many patients have excessive movement in some areas of the face and no movement in others; as a result, surgeons treating this condition must be able to perform multiple types of procedures and understand the underlying neurologic dysfunction.
Patrick J. Byrne, M.D., and colleagues at The Johns Hopkins University School of Medicine, Baltimore, report the results of seven facial paralysis patients treated with temporalis tendon transfer. This technique typically involves an incision beginning at the ear and ending 3 to 4 centimeters into the hairline at the temple. The temporalis muscle, a fan-shaped muscle on the side of the head, is cut at the point that it connects to the jawbone and released from the tissue surrounding it. Then, it is stretched to the point where the muscles of the mouth join together. The tendon that previously connected the temporalis muscle to the jawbone is cut free and then stretched horizontally for 3 to 4 centimeters; it is sutured to the surrounding muscles and deep skin tissue. Physical therapy to retrain facial muscles begins before the surgery and continues beginning seven days after the procedure.

At a minimum of four months after the surgery, "patient satisfaction was very high," the authors write. "Of a possible 10 points, patients reported mean [average] satisfaction with appearance of 8.4, with feeding of 8.1, with speech of 8.7 and with smile function of 7.1." Photographs taken of the patients were graded by 21 physicians in the Johns Hopkins Department of Otolaryngology-Head and Neck Surgery. "Four patients were physician-graded as excellent to superb. The other three patients were rated as having good postoperative results."

Movement in each patient's mouth muscles was assessed by measuring the position of the muscles at rest and again when the patient contracted just the temporalis muscle. Movement was identified in all patients following the procedure, with measurements ranging from 1.6 millimeters to 8.5 millimeters and an average of 4.2 millimeters.

"Temporalis tendon transfer is a relatively easy procedure to perform that has distinct advantages compared with other forms of facial reanimation and provides very good results," the authors conclude. These advantages include its immediate effect, the ease with which the tendon is harvested and transferred and the predictability of the outcomes. "This procedure results in improved form and function, may often be performed in a minimally invasive manner and eliminates the facial asymmetry typically produced by temporalis transfer," a similar procedure in which only the temporalis muscle is moved.

Arch Facial Plast Surg. 2007;9(4):234-241
http://www.archfaci.ama-assn.org
 
 
 
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