Polypropylene and poliglecaprone mesh implant for lifting muscles in facial paralysis
Introduction: Facial paralysis is a condition that can cause some sequelae, and sometimes only aesthetics can be improved. Based on this, the objective was to report a case in which a polypropylene and poliglecaprone mesh was used in order to raise the structures of the right hemiface....
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2022-09-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/3173/en_v37n3a15.pdf |
| _version_ | 1827613164464766976 |
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| author | Pedro Celso de Castro Pita Rafael Ximenes Bandeira de Morais Marcella Ferreira Barros Eduarda Augusta de Lucena Caldas Caroline Silva Costa de Almeida Kyldery Wendell Moura Cavalcante Vanderson Lamartine de Lima Silva |
| author_facet | Pedro Celso de Castro Pita Rafael Ximenes Bandeira de Morais Marcella Ferreira Barros Eduarda Augusta de Lucena Caldas Caroline Silva Costa de Almeida Kyldery Wendell Moura Cavalcante Vanderson Lamartine de Lima Silva |
| author_sort | Pedro Celso de Castro Pita |
| collection | DOAJ |
| description | Introduction:
Facial paralysis is a condition that can cause some sequelae, and sometimes only aesthetics can be improved. Based on this, the objective was to report a case in which a polypropylene and poliglecaprone mesh was used in order to raise the structures of the right hemiface.
Case Report:
The patient had paralysis in the right hemiface, with incompetent eyelid sealing, deviation of the labial commissure and no movement of the temporal musculature. An incision was made below the cutlet, pre and retroauricular, with detachment of the skin flap across the right hemiface. After lifting the superficial musculoaponeurotic system and fixing it with mononylon threads, the polypropylene and poliglecaprone mesh was placed in the middle third region and fixed with monocryl. Canthotomy and lateral canthopexy of the right eyelid were performed. In the immediate postoperative period, the patient evolved without edema, retraction or bulging, and after one year and seven months, she had complete integration of the mesh, with no retraction, fibrosis or recurrence.
Discussion:
The choice of aesthetic treatment for facial paralysis depends on the cause and duration of the injury, but there are several ways to do it. Among the newer ideas are the use of stem cells and alloplastic materials, and following this second line, the polypropylene and poliglecaprone canvas can be thought of as a viable technique, as was reported in this case. |
| first_indexed | 2024-03-09T08:35:56Z |
| format | Article |
| id | doaj.art-6a72c89517004f48badcd92dfa2b97d5 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T08:35:56Z |
| publishDate | 2022-09-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-6a72c89517004f48badcd92dfa2b97d52023-12-02T18:15:12ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352022-09-01370336436810.5935/2177-1235.2022RBCP.539-enPolypropylene and poliglecaprone mesh implant for lifting muscles in facial paralysisPedro Celso de Castro Pita0Rafael Ximenes Bandeira de Morais1Marcella Ferreira Barros2Eduarda Augusta de Lucena Caldas3Caroline Silva Costa de Almeida4Kyldery Wendell Moura Cavalcante5Vanderson Lamartine de Lima Silva6Hospital das Clínicas, Universidade Federal de Pernambuco, Recife, PE, Brazil.Universidade de Pernambuco, Faculdade de Ciências Médicas, Recife, PE, Brazil.Universidade Federal de Pernambuco, Faculdade de Medicina, Recife, PE, Brazil.Universidade Federal de Pernambuco, Faculdade de Medicina, Recife, PE, Brazil.Hospital das Clínicas, Universidade Federal de Pernambuco, Recife, PE, Brazil.Hospital das Clínicas, Universidade Federal de Pernambuco, Recife, PE, Brazil.Hospital das Clínicas, Universidade Federal de Pernambuco, Recife, PE, Brazil.Introduction: Facial paralysis is a condition that can cause some sequelae, and sometimes only aesthetics can be improved. Based on this, the objective was to report a case in which a polypropylene and poliglecaprone mesh was used in order to raise the structures of the right hemiface. Case Report: The patient had paralysis in the right hemiface, with incompetent eyelid sealing, deviation of the labial commissure and no movement of the temporal musculature. An incision was made below the cutlet, pre and retroauricular, with detachment of the skin flap across the right hemiface. After lifting the superficial musculoaponeurotic system and fixing it with mononylon threads, the polypropylene and poliglecaprone mesh was placed in the middle third region and fixed with monocryl. Canthotomy and lateral canthopexy of the right eyelid were performed. In the immediate postoperative period, the patient evolved without edema, retraction or bulging, and after one year and seven months, she had complete integration of the mesh, with no retraction, fibrosis or recurrence. Discussion: The choice of aesthetic treatment for facial paralysis depends on the cause and duration of the injury, but there are several ways to do it. Among the newer ideas are the use of stem cells and alloplastic materials, and following this second line, the polypropylene and poliglecaprone canvas can be thought of as a viable technique, as was reported in this case.http://www.rbcp.org.br/export-pdf/3173/en_v37n3a15.pdfreconstructive surgical proceduresfacial paralysisestheticsfacefacial asymmetry |
| spellingShingle | Pedro Celso de Castro Pita Rafael Ximenes Bandeira de Morais Marcella Ferreira Barros Eduarda Augusta de Lucena Caldas Caroline Silva Costa de Almeida Kyldery Wendell Moura Cavalcante Vanderson Lamartine de Lima Silva Polypropylene and poliglecaprone mesh implant for lifting muscles in facial paralysis Revista Brasileira de Cirurgia Plástica reconstructive surgical procedures facial paralysis esthetics face facial asymmetry |
| title | Polypropylene and poliglecaprone mesh implant for lifting muscles in facial paralysis |
| title_full | Polypropylene and poliglecaprone mesh implant for lifting muscles in facial paralysis |
| title_fullStr | Polypropylene and poliglecaprone mesh implant for lifting muscles in facial paralysis |
| title_full_unstemmed | Polypropylene and poliglecaprone mesh implant for lifting muscles in facial paralysis |
| title_short | Polypropylene and poliglecaprone mesh implant for lifting muscles in facial paralysis |
| title_sort | polypropylene and poliglecaprone mesh implant for lifting muscles in facial paralysis |
| topic | reconstructive surgical procedures facial paralysis esthetics face facial asymmetry |
| url | http://www.rbcp.org.br/export-pdf/3173/en_v37n3a15.pdf |
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