A 45-year-old woman with left facial palsy presented to our department. She developed the condition after radical resection of a neurinoma of the homolateral VIII cranial nerve 2 years prior. On physical examination, a complete palsy of the lower third of the face was reported. Electromyographic examination showed no fibrillation potentials in mimic muscles. A latissimus dorsi muscle free flap (6 cm×3 cm), split into two bellies linked by their own neurovascular pedicle, was used to restore full-mouth smile. Ten years after surgery, the patient showed a nearnatural smile without need of any ancillary procedure.
Double-bellied latissimus dorsi free flap to correct full dental smile palsy / F. Allevi, G. Motta, V. Colombo, F. Biglioli. - In: BMJ CASE REPORT. - ISSN 1757-790X. - 2015:(2015 Jul 20), pp. 210436.1-210436.4. [10.1136/bcr-2015-210436]
Double-bellied latissimus dorsi free flap to correct full dental smile palsy
F. Allevi
;F. BiglioliUltimo
2015
Abstract
A 45-year-old woman with left facial palsy presented to our department. She developed the condition after radical resection of a neurinoma of the homolateral VIII cranial nerve 2 years prior. On physical examination, a complete palsy of the lower third of the face was reported. Electromyographic examination showed no fibrillation potentials in mimic muscles. A latissimus dorsi muscle free flap (6 cm×3 cm), split into two bellies linked by their own neurovascular pedicle, was used to restore full-mouth smile. Ten years after surgery, the patient showed a nearnatural smile without need of any ancillary procedure.File | Dimensione | Formato | |
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