Publications by authors named "Kofi O Boahene"
Article Synopsis
- Clival lesions are surgically complex due to their location and proximity to critical structures like the internal carotid arteries and cranial nerves.
- A case study of a 35-year-old woman with a right petroclival chondrosarcoma used an endoscopic transmaxillary approach for tumor access, achieving near-total resection without complications.
- This method offers improved visibility and maneuverability around vital anatomical features, maximizing tumor removal while preserving neurological function.
The Multivector Gracilis Free Functional Muscle Flap for Facial Reanimation.
JAMA Facial Plast Surg
July 2018
Importance: A multivector functional muscle flap that closely simulates the biomechanical effects of facial muscle groups is essential for complete smile restoration after facial paralysis.
Objective: To determine the feasibility of a multivector gracilis muscle flap design for reanimation after facial paralysis and to analyze the effect on the smile display zone.
Design, Setting, And Participants: Prospective analysis of patients who underwent a double paddle multivector gracilis flap for complete facial paralysis between June 2015 and December 2016 was carried out in a tertiary hospital.
Importance: Preserving facial nerve function is a primary goal and a key decision factor in the comprehensive management of vestibular schwannoma and other cerebellopontine angle (CPA) tumors.
Objective: To evaluate the use of the pattern of facial paralysis recovery in the early postoperative months as a sole predictor in selecting patients for facial nerve grafting after CPA tumor resection when cranial nerve VII is uninterrupted.
Design, Setting, And Participants: Sixty-two patients with facial paralysis and uninterrupted cranial nerve VII who developed facial paralysis after CPA tumor resection at The Johns Hopkins Hospital were followed up prospectively to assess for spontaneous recovery and to determine candidacy for facial reanimation surgery.