Long-term results of microvascular free-tissue transfer reanimation of the paralyzed face: three cases. Ear, nose, & throat journal [Ear Nose Throat J] Journal article | | Title | Long-term results of microvascular free-tissue transfer reanimation of the paralyzed face: three cases. | | Author(s) | Leonetti JP, Zender CA, Vandevender D, Marzo SJ | | Institution | Department of Otolaryngology-Head and Neck Surgery, Loyola Center for Cranial Base Surgery, Loyola University Medical Center, 2160 S. First Ave., Maywood, IL 60153, USA. jleonet@LUMC.edu | | Source | Ear Nose Throat J 2008 Apr; 87(4):226-9, 233. | | Abstract | We conducted a retrospective case review at our tertiary care academic medical center to assess the long-term results of microvascular free-tissue transfer to achieve facial reanimation in 3 patients. These patients had undergone wide-field parotidectomy with facial nerve resection. Upper facial reanimation was accomplished with a proximal facial nerve-sural nerve graft, and lower facial movement was achieved through proximal facial nerve-long thoracic (serratus muscle) nerve anastomosis. Outcomes were determined by grading postoperative facial nerve function according to the House-Brackmann system. All 3 patients were able to close their eyes independent of lower facial movement, and all 3 had achieved House-Brackmann grade III function. We conclude that reanimating the paralyzed face with microvascular free-tissue transfer provides anatomic coverage and mimetic function after wide-field parotidectomy. Synkinesis is reduced by separating upper- and lower-division reanimation. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 18478799 |
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