Combined Sequential Bilateral Hypoglossal-to-facial and Masseter-to-facial Transfers for Bilateral Facial Paralysis
Summary:. Bilateral facial paralysis is a challenging situation requiring complex management. Surgical treatment can include nerve transfers, mainly masseter-to-facial, or muscle transfers, gracilis free flap, or temporalis transposition. Deciding on the surgical option depends on the duration of th...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2021-07-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003689 |
| _version_ | 1819088135067271168 |
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| author | Jose M. Morales-Puebla, MD Teresa González-Otero, MD Susana Moraleda, MD Susana Santiago, MD Javier Gavilán, MD Luis Lassaletta, MD |
| author_facet | Jose M. Morales-Puebla, MD Teresa González-Otero, MD Susana Moraleda, MD Susana Santiago, MD Javier Gavilán, MD Luis Lassaletta, MD |
| author_sort | Jose M. Morales-Puebla, MD |
| collection | DOAJ |
| description | Summary:. Bilateral facial paralysis is a challenging situation requiring complex management. Surgical treatment can include nerve transfers, mainly masseter-to-facial, or muscle transfers, gracilis free flap, or temporalis transposition. Deciding on the surgical option depends on the duration of the paralysis and the feasibility of facial muscles. We present the case of a 10-year-old child with permanent bilateral facial paralysis after brainstem tumor surgery. The patient was treated with bilateral simultaneous hypoglossal-to-facial transfer followed by bilateral simultaneous masseter-to-facial 12 months later. After 23 months of follow-up and specific physical therapy, she has good and symmetric resting tone, complete eye closure, moderate bilateral smile excursion, mild lip pucker movement, and good oral competence. The combination of these two nerve transfers, when possible, gives the opportunity of restoring movement taking the best of each technique, with acceptable results and no significant clinical deficits in the donor sites. |
| first_indexed | 2024-12-21T21:47:13Z |
| format | Article |
| id | doaj.art-a5a5b39a460c435391b17f836c84931f |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-21T21:47:13Z |
| publishDate | 2021-07-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-a5a5b39a460c435391b17f836c84931f2022-12-21T18:49:11ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742021-07-0197e368910.1097/GOX.0000000000003689202107000-00013Combined Sequential Bilateral Hypoglossal-to-facial and Masseter-to-facial Transfers for Bilateral Facial ParalysisJose M. Morales-Puebla, MD0Teresa González-Otero, MD1Susana Moraleda, MD2Susana Santiago, MD3Javier Gavilán, MD4Luis Lassaletta, MD5* From the Department of Otorhinolaryngology, La Paz University Hospital, Madrid, Spain† IdiPAZ Research Institute, Madrid, Spain¶ Department of Physical Medicine and Rehabilitation. La Paz University Hospital, Madrid, Spain∥ Department of Neurophysiology. La Paz University Hospital, Madrid, Spain.* From the Department of Otorhinolaryngology, La Paz University Hospital, Madrid, Spain* From the Department of Otorhinolaryngology, La Paz University Hospital, Madrid, SpainSummary:. Bilateral facial paralysis is a challenging situation requiring complex management. Surgical treatment can include nerve transfers, mainly masseter-to-facial, or muscle transfers, gracilis free flap, or temporalis transposition. Deciding on the surgical option depends on the duration of the paralysis and the feasibility of facial muscles. We present the case of a 10-year-old child with permanent bilateral facial paralysis after brainstem tumor surgery. The patient was treated with bilateral simultaneous hypoglossal-to-facial transfer followed by bilateral simultaneous masseter-to-facial 12 months later. After 23 months of follow-up and specific physical therapy, she has good and symmetric resting tone, complete eye closure, moderate bilateral smile excursion, mild lip pucker movement, and good oral competence. The combination of these two nerve transfers, when possible, gives the opportunity of restoring movement taking the best of each technique, with acceptable results and no significant clinical deficits in the donor sites.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003689 |
| spellingShingle | Jose M. Morales-Puebla, MD Teresa González-Otero, MD Susana Moraleda, MD Susana Santiago, MD Javier Gavilán, MD Luis Lassaletta, MD Combined Sequential Bilateral Hypoglossal-to-facial and Masseter-to-facial Transfers for Bilateral Facial Paralysis Plastic and Reconstructive Surgery, Global Open |
| title | Combined Sequential Bilateral Hypoglossal-to-facial and Masseter-to-facial Transfers for Bilateral Facial Paralysis |
| title_full | Combined Sequential Bilateral Hypoglossal-to-facial and Masseter-to-facial Transfers for Bilateral Facial Paralysis |
| title_fullStr | Combined Sequential Bilateral Hypoglossal-to-facial and Masseter-to-facial Transfers for Bilateral Facial Paralysis |
| title_full_unstemmed | Combined Sequential Bilateral Hypoglossal-to-facial and Masseter-to-facial Transfers for Bilateral Facial Paralysis |
| title_short | Combined Sequential Bilateral Hypoglossal-to-facial and Masseter-to-facial Transfers for Bilateral Facial Paralysis |
| title_sort | combined sequential bilateral hypoglossal to facial and masseter to facial transfers for bilateral facial paralysis |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003689 |
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