Between April 1999 and April 2008, 37 patients with long-standing facial paralysis underwent a one-stage facial reanimation with neuromuscular free flaps: 28 patients (group A) underwent flap transposition only; 9 patients (group B) underwent a deep-planes lift (DPL) composed of the superficial muscoloaponeurotic system + parotid fascia at the time of facial reanimation. The postoperative and final results were compared between groups A and B, following the classification of Terzis and Noah (1997). Before the onset of contraction, only group B patients (100%) showed good or moderate symmetry at rest, while none of the patients of group A had a symmetric face. The respective final results for patients in groups A and B who already showed the onset of flap contraction were excellent in 28.6% and 44.5%, good in 42.9% and 33.3%, moderate in 10.7% and 22.2%, and fair or poor and fair in 17.8% and 0% of patients, respectively. The DPL allows immediate symmetry of the face at rest and contributes to upgrading the final static and dynamic results in facial reanimation with free muscular flaps.
Deep-planes lift associated with free flap surgery for facial reanimation / F. Biglioli, A. Frigerio, L. Autelitano, G. Colletti, D. Rabbiosi, R. Brusati. - In: JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY. - ISSN 1010-5182. - 39:7(2011 Oct), pp. 475-481.
|Titolo:||Deep-planes lift associated with free flap surgery for facial reanimation|
BIGLIOLI, FEDERICO (Primo)
FRIGERIO, ALICE (Secondo)
BRUSATI, ROBERTO (Ultimo)
|Settore Scientifico Disciplinare:||Settore MED/29 - Chirurgia Maxillofacciale|
|Data di pubblicazione:||ott-2011|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1016/j.jcms.2010.09.003|
|Appare nelle tipologie:||01 - Articolo su periodico|
File in questo prodotto:
|Deep-planes lift associated with free flap surgery for facial reanimation.pdf||Publisher's version/PDF||Administrator Richiedi una copia|