Muscular subunits transplantation for facial reanimation

PURPOSE: To present an alternative technique for reconstruction of musculocutaneous damages in the face transferring innervated subsegments(subunits) of the latissimus dorsi flap for replacement of various facial mimetic muscles. METHODS: One clinical case of trauma with skin and mimetic muscles dam...

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Main Authors: André Salo Buslik Hazan, Fábio Xerfan Nahas, Rodrigo Tiago Faria, Ramil Sinder, Lydia Masako Ferreira
Format: Article
Language:English
Published: Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia 2006-04-01
Series:Acta Cirúrgica Brasileira
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502006000200002&tlng=en
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author André Salo Buslik Hazan
Fábio Xerfan Nahas
Rodrigo Tiago Faria
Ramil Sinder
Lydia Masako Ferreira
author_facet André Salo Buslik Hazan
Fábio Xerfan Nahas
Rodrigo Tiago Faria
Ramil Sinder
Lydia Masako Ferreira
author_sort André Salo Buslik Hazan
collection DOAJ
description PURPOSE: To present an alternative technique for reconstruction of musculocutaneous damages in the face transferring innervated subsegments(subunits) of the latissimus dorsi flap for replacement of various facial mimetic muscles. METHODS: One clinical case of trauma with skin and mimetic muscles damage is described as an example of the technique. The treatment was performed with microsurgical transfer of latissimus dorsi muscle subunits. Each subunit present shape and dimensions of the respective mimetic muscles replaced. The origin, insertions and force vectors for the mimicmuscle lost were considered. Each subsegment has its own arterial and venous supply with a motor nerve component for the muscular unit. RESULTS: Pre and one year postoperative photos registration of static and dynamic mimic aspects, as well as digital electromyography digital data of the patients were compared. The transplanted muscular units presented myoeletric activity, fulfilling both the functional and cosmetic aspect. CONCLUSION: This technique seems to be a promising way to deal with the complex musculocutaneous losses of the face as well as facial palsy.
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spelling doaj.art-8463ca81c0514585876ce37bee7c94942022-12-21T18:41:50ZengSociedade Brasileira para o Desenvolvimento da Pesquisa em CirurgiaActa Cirúrgica Brasileira0102-86502006-04-01212616510.1590/S0102-86502006000200002Muscular subunits transplantation for facial reanimationAndré Salo Buslik Hazan0Fábio Xerfan Nahas1Rodrigo Tiago Faria2Ramil Sinder3Lydia Masako Ferreira4Souza Aguiar City HospitalUniversidade Federal de São PauloSouza Aguiar City HospitalUniversidade Federal FluminenseUniversidade Federal de São PauloPURPOSE: To present an alternative technique for reconstruction of musculocutaneous damages in the face transferring innervated subsegments(subunits) of the latissimus dorsi flap for replacement of various facial mimetic muscles. METHODS: One clinical case of trauma with skin and mimetic muscles damage is described as an example of the technique. The treatment was performed with microsurgical transfer of latissimus dorsi muscle subunits. Each subunit present shape and dimensions of the respective mimetic muscles replaced. The origin, insertions and force vectors for the mimicmuscle lost were considered. Each subsegment has its own arterial and venous supply with a motor nerve component for the muscular unit. RESULTS: Pre and one year postoperative photos registration of static and dynamic mimic aspects, as well as digital electromyography digital data of the patients were compared. The transplanted muscular units presented myoeletric activity, fulfilling both the functional and cosmetic aspect. CONCLUSION: This technique seems to be a promising way to deal with the complex musculocutaneous losses of the face as well as facial palsy.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502006000200002&tlng=enFacial ParalysisReconstructionFacial MusclesMicrosurgery
spellingShingle André Salo Buslik Hazan
Fábio Xerfan Nahas
Rodrigo Tiago Faria
Ramil Sinder
Lydia Masako Ferreira
Muscular subunits transplantation for facial reanimation
Acta Cirúrgica Brasileira
Facial Paralysis
Reconstruction
Facial Muscles
Microsurgery
title Muscular subunits transplantation for facial reanimation
title_full Muscular subunits transplantation for facial reanimation
title_fullStr Muscular subunits transplantation for facial reanimation
title_full_unstemmed Muscular subunits transplantation for facial reanimation
title_short Muscular subunits transplantation for facial reanimation
title_sort muscular subunits transplantation for facial reanimation
topic Facial Paralysis
Reconstruction
Facial Muscles
Microsurgery
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502006000200002&tlng=en
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