Pectoralis minor muscle transfer for unilateral facial palsy reanimation: an experience of 35 years and 637 cases

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Douglas H Harrison, Adriaan O Grobbelaar

Abstract

Free functional muscle transfers are often the treatment of choice for facial reanimation. We describe our experience with 637 cases over a 35-year period. Data was collected prospectively on all case undergoing functional muscle transfer for unilateral facial paralysis. Results were judged by the operating surgeon and an Independent panel of four observers. 354 patients had an excellent result as judged by the surgeon. An independent panel rated patients to have a significant change pre- and post-operatively comparing their Hay's scores (p < 0.001, t-test). 27.2% of patients required revisional procedures. 13.3% of patients developed late onset tightness of the transferred muscle. Facial reanimation with functional muscle transfers is a complex procedure and provides a significant improvement for the patient to display humour and emotion.

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Citations

Apr 23, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Yusuke ShimizuKazuo Kishi
Jan 15, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Jonathan I LeckenbyAdriaan O Grobbelaar
Nov 28, 2015·Facial Plastic Surgery Clinics of North America·Babak Azizzadeh, Kelly J Pettijohn
Feb 7, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·J I LeckenbyA O Grobbelaar
Jan 16, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Rafal NiziolAdriaan O Grobbelaar
Dec 4, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·A VeyssièreH Bénateau
Sep 14, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Sonya GardinerAdriaan Grobbelaar
Sep 27, 2016·The British Journal of Oral & Maxillofacial Surgery·D P ButlerA O Grobbelaar
Apr 10, 2017·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Laura C HoltmannStefan Mattheis
Nov 15, 2014·Archives of Plastic Surgery·Francis P HenryAdriaan O Grobbelaar
Oct 3, 2013·Archives of Plastic Surgery·Jonathan Leckenby, Adriaan Grobbelaar
Apr 27, 2018·Plastic and Reconstructive Surgery·Austin HembdShai M Rozen
Nov 22, 2014·Plastic and Reconstructive Surgery·Daniel P ButlerAdriaan O Grobbelaar
Feb 25, 2015·Craniomaxillofacial Trauma & Reconstruction·Eli GordinDemetri Arnaoutakis
Nov 22, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·A C S WoollardA O Grobbelaar
Jun 6, 2020·European Journal of Translational Myology·Valeria MastryukovaGerd Fabian Volk
Feb 28, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Konstantinos GasteratosAdriaan O Grobbelaar
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

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