Masseter nerve-innervated free gracilis muscle transfer for smile reanimation in adults.
10.3760/cma.j.cn115330-20210225-00087
- VernacularTitle:咬肌神经支配股薄肌移植术在成人晚期面神经麻痹重建中的应用
- Author:
Cheng Yuan WANG
1
;
Jian CHEN
1
;
Jun Feng LI
2
Author Information
1. Department of Plastic Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
2. Department of Otorhinolaryngology, Beijing Aviation General Hospital, Beijing 100029, China.
- Publication Type:Journal Article
- MeSH:
Adult;
Facial Paralysis/surgery*;
Female;
Gracilis Muscle;
Humans;
Male;
Middle Aged;
Nerve Transfer;
Quality of Life;
Reconstructive Surgical Procedures;
Retrospective Studies;
Smiling
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2021;56(5):465-470
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the outcomes of masseter nerve-innervated free gracilis muscle transfer for smile reanimation in adults and to explore surgical indications. Methods: A retrospective chart review of 37 patients (11 males, 26 females, with (40.3±12.7) years old)who underwent masseter nerve-innervated free gracilis muscle transfer for smile reanimation between 2016 and 2017 was performed. Patient-reported quality of life (facial clinimetric evaluation, FaCE), physician-reported facial function (eFACE facial grading scale), and oral commissure excursion were compared preoperatively and postoperatively. SPSS 11.0 software was used to analyze the data. Results: Thirty-seven patients were followed up in one year after surgery. Significant postoperative improvements were demonstrated for commissure excursion with smile (preoperatively: (-1.2±3.1) mm, postoperatively: (6.1±3.5) mm, t=-31.1, P<0.01), ipsilateral FaCE (preoperatively: (29.4±14.1), postoperatively: (57.6±23.4), t=-38.1, P<0.01), eFACE score (Composite score t=-35.8, Static score t=-29.1, Dynamic score t=-41.3,Midface score t=-43.9, all P<0.01), respectively. Conclusion: Masseter nerve-innervated free gracilis muscle transfer is an good option for dynamic smile reanimation in adult patients who have undergone treatment for long-standing facial paralysis.
