Dynamic Reconstruction Using Bilateral Lengthening Temporalis Myoplasty for Facial Palsies in Patients with Hereditary Skin Laxity
Summary:. Hereditary skin laxity is a rare condition, some cases of which are also referred to as cutis laxa, and those involving facial skin are considered a target for treatment by plastic surgery as patients present with an aged face, which can reduce their quality of life. In some of these patie...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2024-02-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005618 |
| _version_ | 1797292744869150720 |
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| author | Akiko Hirata, MD, PhD Akiteru Hayashi, MD Shun Yamazaki, MD Hayato Hanada, MD Syogo Nakamura, MD Akihiro Ogino, MD |
| author_facet | Akiko Hirata, MD, PhD Akiteru Hayashi, MD Shun Yamazaki, MD Hayato Hanada, MD Syogo Nakamura, MD Akihiro Ogino, MD |
| author_sort | Akiko Hirata, MD, PhD |
| collection | DOAJ |
| description | Summary:. Hereditary skin laxity is a rare condition, some cases of which are also referred to as cutis laxa, and those involving facial skin are considered a target for treatment by plastic surgery as patients present with an aged face, which can reduce their quality of life. In some of these patients, the facial nerve and muscles may be affected, and cause weakness of mimetic muscles. We performed one-stage bilateral lengthening temporalis myoplasty reanimation, followed by lower facial contouring with partial lower lip excision and hammock-shaped fascia grafting in two patients with hereditary facial skin laxity coexisting with facial palsy. The patient was a 63-year-old woman with hereditary gelsolin amyloidosis and a 64-year-old man who was diagnosed with oculopharyngeal muscular dystrophy. Postoperatively, a symmetrical facial contour was achieved in repose, and smiling with and without biting was possible. To our knowledge, there are no reports of dynamic smile reconstruction for facial weakness in patients with hereditary facial skin laxity. Although these patients may experience progressive loss of function of the trigeminal nerve and its innervating muscles, the static suspension effect of lengthening temporalis myoplasty can be expected to continue even if the temporal muscles lose their function in the future. We believe that, with careful patient selection, dynamic reconstruction is an option for progressive facial paralysis. In this article, we present the chronological history of two patients who underwent multiple plastic surgery procedures and discuss the importance of the role of plastic surgery in improving the quality of life under these conditions. |
| first_indexed | 2024-03-07T20:01:55Z |
| format | Article |
| id | doaj.art-35b85e00e4be4b7cb7234e0f44232636 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-07T20:01:55Z |
| publishDate | 2024-02-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-35b85e00e4be4b7cb7234e0f442326362024-02-28T06:48:00ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742024-02-01122e561810.1097/GOX.0000000000005618202402000-00051Dynamic Reconstruction Using Bilateral Lengthening Temporalis Myoplasty for Facial Palsies in Patients with Hereditary Skin LaxityAkiko Hirata, MD, PhD0Akiteru Hayashi, MD1Shun Yamazaki, MD2Hayato Hanada, MD3Syogo Nakamura, MD4Akihiro Ogino, MD5From the * Department of Plastic and Reconstructive Surgery, Toho University Ohashi Medical Center, Tokyo, Japan† Department of Plastic and Reconstructive Surgery, Toho University Sakura Medical Center, Chiba, Japan† Department of Plastic and Reconstructive Surgery, Toho University Sakura Medical Center, Chiba, JapanFrom the * Department of Plastic and Reconstructive Surgery, Toho University Ohashi Medical Center, Tokyo, Japan‡ Department of Plastic and Reconstructive Surgery, Toho University Omori Medical Center, Tokyo, Japan.‡ Department of Plastic and Reconstructive Surgery, Toho University Omori Medical Center, Tokyo, Japan.Summary:. Hereditary skin laxity is a rare condition, some cases of which are also referred to as cutis laxa, and those involving facial skin are considered a target for treatment by plastic surgery as patients present with an aged face, which can reduce their quality of life. In some of these patients, the facial nerve and muscles may be affected, and cause weakness of mimetic muscles. We performed one-stage bilateral lengthening temporalis myoplasty reanimation, followed by lower facial contouring with partial lower lip excision and hammock-shaped fascia grafting in two patients with hereditary facial skin laxity coexisting with facial palsy. The patient was a 63-year-old woman with hereditary gelsolin amyloidosis and a 64-year-old man who was diagnosed with oculopharyngeal muscular dystrophy. Postoperatively, a symmetrical facial contour was achieved in repose, and smiling with and without biting was possible. To our knowledge, there are no reports of dynamic smile reconstruction for facial weakness in patients with hereditary facial skin laxity. Although these patients may experience progressive loss of function of the trigeminal nerve and its innervating muscles, the static suspension effect of lengthening temporalis myoplasty can be expected to continue even if the temporal muscles lose their function in the future. We believe that, with careful patient selection, dynamic reconstruction is an option for progressive facial paralysis. In this article, we present the chronological history of two patients who underwent multiple plastic surgery procedures and discuss the importance of the role of plastic surgery in improving the quality of life under these conditions.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005618 |
| spellingShingle | Akiko Hirata, MD, PhD Akiteru Hayashi, MD Shun Yamazaki, MD Hayato Hanada, MD Syogo Nakamura, MD Akihiro Ogino, MD Dynamic Reconstruction Using Bilateral Lengthening Temporalis Myoplasty for Facial Palsies in Patients with Hereditary Skin Laxity Plastic and Reconstructive Surgery, Global Open |
| title | Dynamic Reconstruction Using Bilateral Lengthening Temporalis Myoplasty for Facial Palsies in Patients with Hereditary Skin Laxity |
| title_full | Dynamic Reconstruction Using Bilateral Lengthening Temporalis Myoplasty for Facial Palsies in Patients with Hereditary Skin Laxity |
| title_fullStr | Dynamic Reconstruction Using Bilateral Lengthening Temporalis Myoplasty for Facial Palsies in Patients with Hereditary Skin Laxity |
| title_full_unstemmed | Dynamic Reconstruction Using Bilateral Lengthening Temporalis Myoplasty for Facial Palsies in Patients with Hereditary Skin Laxity |
| title_short | Dynamic Reconstruction Using Bilateral Lengthening Temporalis Myoplasty for Facial Palsies in Patients with Hereditary Skin Laxity |
| title_sort | dynamic reconstruction using bilateral lengthening temporalis myoplasty for facial palsies in patients with hereditary skin laxity |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005618 |
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