Masseteric nerve for gracilis muscle re-innervation in unilateral facial palsy: Impact on quality of life

Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
Bernardo BianchiEnrico Sesenna

Abstract

Unilateral established or congenital facial palsies are usually treated with neuromuscular transplantation to reanimate the impaired side of the face. One of the most debated points is the motor nerve to choose for the reinnervation of the transplant. Contra-lateral healthy facial nerve is usually preferred, but in selected cases motor nerve to masseter is considered a valuable option. However only a few clinical studies focused on quality of life in this subset of patients are available in literature. Twenty patients treated for established or congenital unilateral facial palsy reanimated with gracilis muscle transplant reinnervated with masseteric nerve were retrospectively analyzed. The FDI questionnaire on quality of life was administered before and after surgery and statistical analysis of results was conducted to score changes. Overall results of the questionnaire resulted in a statistically significant improvement after surgery, with a p value of 0.05. Facial animation with gracilis muscle transplant re-innervated with masseteric nerve is a safe and reliable procedure in selected unilateral facial palsy patients. Results reported here confirm that surgery mainly improves the functional aspects of a patient's daily life q...Continue Reading

References

Mar 1, 1989·Annals of Plastic Surgery·R M Zuker, R T Manktelow
Jun 1, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Chiarella SforzaFederico Biglioli

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Citations

Jul 18, 2018·The Journal of Craniofacial Surgery·Tomoyuki OtaYoshihiro Kimata
Jun 11, 2020·Facial Plastic Surgery & Aesthetic Medicine·Jessica OcchiogrossoLinda N Lee
Mar 3, 2020·International Journal of Speech-language Pathology·Emma Charters, Susan Coulson
Mar 21, 2021·The Journal of Craniofacial Surgery·Michelle SeuR Mark Wiet

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