One-stage reanimation of the paralyzed face using the rectus abdominis neurovascular free flap

Plastic and Reconstructive Surgery
Ali SajjadianErnest K Manders

Abstract

Functional free muscle transfer for the surgical correction of long-standing facial paralysis has gained validity over the past three decades. These traditionally multistep reconstructions often achieve clinical success, but at the cost of significant morbidity and lengthy recovery periods. To address this dilemma, the authors propose reconstruction using the rectus abdominis and accompanying intercostal nerve in a one-stage neurovascular free flap reanimation procedure. Between 1998 and 2001, five patients with long-standing unilateral facial paralysis at the University of Pittsburgh Facial Nerve Center underwent reanimation using the authors' protocol. Preoperative and postoperative assessments included clinical evaluation using the Facial Grading System and electromyography. The patients were followed for a mean of 16 months. At the final postoperative visit, all five patients demonstrated improved levator electromyographic potential, with a median 67 percent improvement. All five patients further demonstrated an increase in zygomaticus electromyographic potential, with a median 225 percent improvement. All five patients demonstrated increased Facial Grading System score at most recent follow-up. The one-step reanimation usi...Continue Reading

References

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Citations

Aug 7, 2007·HNO·O Guntinas-Lichius
Mar 26, 2009·Plastic and Reconstructive Surgery·Julia K Terzis, Fatima S Olivares
May 21, 2015·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Rajeev B AhujaGaurav K Gupta
Dec 5, 2012·Acta Cirúrgica Brasileira·Joseli Assem BersanetiRafael Denadai
Feb 9, 2018·The Journal of Craniofacial Surgery·Tomito OjiKiyoshi Onishi
May 23, 2009·The Journal of Craniofacial Surgery·Murat Sahin AlagözEray Tuccar
Mar 8, 2012·Annals of Plastic Surgery·Julia K Terzis, Katerina Anesti
Mar 25, 2021·Plastic and Reconstructive Surgery. Global Open·Ricardo Rodriguez ColonEduardo D Rodriguez
May 23, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Carmen Higueras SuñéEmili Amilibia Cabezas
Nov 25, 2020·The Journal of Craniofacial Surgery·Hongyu LiangYangqun Li

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