Obturator Nerve Split for Gracilis Free-flap Double Reinnervation in Facial Paralysis
Summary:. The use of a double-powered free muscle transfer for facial reanimation has been reported by several authors with different types of nerve coaptation. A new nerve coaptation strategy is presented herein. We performed a 1-stage double-powered free gracilis muscle flap transfer in a patient...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2019-06-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002106 |
| _version_ | 1818301440866648064 |
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| author | Alessio Baccarani, MD, FACS Marta Starnoni, MD Giovanna Zaccaria, MD Alexandre Anesi, MD Elisa Benanti, MD Antonio Spaggiari, MD Giorgio De Santis, MD |
| author_facet | Alessio Baccarani, MD, FACS Marta Starnoni, MD Giovanna Zaccaria, MD Alexandre Anesi, MD Elisa Benanti, MD Antonio Spaggiari, MD Giorgio De Santis, MD |
| author_sort | Alessio Baccarani, MD, FACS |
| collection | DOAJ |
| description | Summary:. The use of a double-powered free muscle transfer for facial reanimation has been reported by several authors with different types of nerve coaptation. A new nerve coaptation strategy is presented herein. We performed a 1-stage double-powered free gracilis muscle flap transfer in a patient with long-standing facial paralysis by splitting the obturator nerve and anastomosing the 2 free ends to the contralateral facial nerve (through a sural graft) and to the masseteric nerve. Voluntary movement of the transferred muscle with teeth clenching was observed at 6 months after the operation and a symmetric smile with bilateral elevation of the mouth angle at 10 months. Our limited experience suggests that in case of a large cross-section of the obturator nerve, the latter can be split and sutured to the ipsilateral masseteric nerve and to the contralateral facial nerve with a sural graft by double end-to-end anastomosis. |
| first_indexed | 2024-12-13T05:23:03Z |
| format | Article |
| id | doaj.art-34c75d482e6845af9a34104351595da8 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-13T05:23:03Z |
| publishDate | 2019-06-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-34c75d482e6845af9a34104351595da82022-12-21T23:58:16ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742019-06-0176e210610.1097/GOX.0000000000002106201906000-00029Obturator Nerve Split for Gracilis Free-flap Double Reinnervation in Facial ParalysisAlessio Baccarani, MD, FACS0Marta Starnoni, MD1Giovanna Zaccaria, MD2Alexandre Anesi, MD3Elisa Benanti, MD4Antonio Spaggiari, MD5Giorgio De Santis, MD6From the Division of Plastic Surgery, University of Modena and Reggio Emilia, Modena, Italy.From the Division of Plastic Surgery, University of Modena and Reggio Emilia, Modena, Italy.From the Division of Plastic Surgery, University of Modena and Reggio Emilia, Modena, Italy.From the Division of Plastic Surgery, University of Modena and Reggio Emilia, Modena, Italy.From the Division of Plastic Surgery, University of Modena and Reggio Emilia, Modena, Italy.From the Division of Plastic Surgery, University of Modena and Reggio Emilia, Modena, Italy.From the Division of Plastic Surgery, University of Modena and Reggio Emilia, Modena, Italy.Summary:. The use of a double-powered free muscle transfer for facial reanimation has been reported by several authors with different types of nerve coaptation. A new nerve coaptation strategy is presented herein. We performed a 1-stage double-powered free gracilis muscle flap transfer in a patient with long-standing facial paralysis by splitting the obturator nerve and anastomosing the 2 free ends to the contralateral facial nerve (through a sural graft) and to the masseteric nerve. Voluntary movement of the transferred muscle with teeth clenching was observed at 6 months after the operation and a symmetric smile with bilateral elevation of the mouth angle at 10 months. Our limited experience suggests that in case of a large cross-section of the obturator nerve, the latter can be split and sutured to the ipsilateral masseteric nerve and to the contralateral facial nerve with a sural graft by double end-to-end anastomosis.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002106 |
| spellingShingle | Alessio Baccarani, MD, FACS Marta Starnoni, MD Giovanna Zaccaria, MD Alexandre Anesi, MD Elisa Benanti, MD Antonio Spaggiari, MD Giorgio De Santis, MD Obturator Nerve Split for Gracilis Free-flap Double Reinnervation in Facial Paralysis Plastic and Reconstructive Surgery, Global Open |
| title | Obturator Nerve Split for Gracilis Free-flap Double Reinnervation in Facial Paralysis |
| title_full | Obturator Nerve Split for Gracilis Free-flap Double Reinnervation in Facial Paralysis |
| title_fullStr | Obturator Nerve Split for Gracilis Free-flap Double Reinnervation in Facial Paralysis |
| title_full_unstemmed | Obturator Nerve Split for Gracilis Free-flap Double Reinnervation in Facial Paralysis |
| title_short | Obturator Nerve Split for Gracilis Free-flap Double Reinnervation in Facial Paralysis |
| title_sort | obturator nerve split for gracilis free flap double reinnervation in facial paralysis |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002106 |
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