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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Format: | Article |
Language: | English |
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Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
2006-04-01
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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. |
first_indexed | 2024-12-22T02:33:33Z |
format | Article |
id | doaj.art-8463ca81c0514585876ce37bee7c9494 |
institution | Directory Open Access Journal |
issn | 0102-8650 |
language | English |
last_indexed | 2024-12-22T02:33:33Z |
publishDate | 2006-04-01 |
publisher | Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
record_format | Article |
series | Acta Cirúrgica Brasileira |
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 |
work_keys_str_mv | AT andresalobuslikhazan muscularsubunitstransplantationforfacialreanimation AT fabioxerfannahas muscularsubunitstransplantationforfacialreanimation AT rodrigotiagofaria muscularsubunitstransplantationforfacialreanimation AT ramilsinder muscularsubunitstransplantationforfacialreanimation AT lydiamasakoferreira muscularsubunitstransplantationforfacialreanimation |