Favorable Outcome Perception in Facial Selective Neurectomy.

Objective: Facial selective neurectomy (SN) improves facial function by denervation of muscles antagonistic to the smile in nonflaccid facial paralysis (NFFP) patients. This study aims to assess whether and which objective facial function metrics affect favorable SN outcome in NFFP patients, as perceived by facial nerve (FN) practitioners.

Study Design: Retrospective cohort study.

Does supercharging with cross-face nerve graft enhance smile in non-flaccid facial paralysis patients undergoing selective neurectomy?

Background: Cross face nerve grafting (CFNG) is a well-established nerve transfer technique in facial reanimation; however, no study has assessed outcome of supercharging the smile with CFNG in patients with synkinesis. The goal of this study was to examine the smile outcome in non-flaccid facial paralysis (NFFP) patients after supercharging with CFNG during selective neurectomy.

Methods: NFFP patients who underwent CFNG with end-to-side coaptation to a smile branch on the paralyzed side during selective neurectomy were retrospectively identified and their charts were reviewed.

Pre-Operative Factors May Predict Outcome in Selective Neurectomy for Synkinesis.

While there has been great interest in offering selective neurectomy (SN) to patients with nonflaccid facial palsy (NFFP), postoperative outcomes are inconsistent. To assess overall SN outcome in NFFP patients and to examine correlation between preoperative factors and SN outcome. SN cases were retrospectively identified between 2019 and 2021.

Understanding the Relationship Between Facial Nerve Branch Sacrifice and Selective Neurectomy Outcome.

While there is great interest in selective neurectomy (SN) for patients with synkinesis, outcomes can be inconsistent. To examine the relationships between intraoperative facial nerve branch transection and both postoperative outcome and functional deficits. SN cases, with minimal follow-up of 4 months, were retrospectively identified between 2019 and 2021; outcome was assessed using FaCE instrument, eFACE and Emotrics.

Lower Facial Nerve Nomenclature Clarification: Cervical Branch Controls Smile-Associated Lower Lip Depression and Dental Display.

Objective: In head and neck ablative surgery, traditional teaching is that the key facial nerve branch to preserve along the plane of the lower border of the mandible is the marginal mandibular branch (MMb), which is considered to control all lower lip musculature. The depressor labii inferioris (DLI) is the muscle responsible for pleasing lower lip displacement and lower dental display during natural emotive smiling.

Study Design: To understand the structure/function relationships of the distal lower facial nerve branches and lower lip musculature.

Is nerve coaptation associated with improved sensation after microvascular breast reconstruction? A systematic review.

Background: Sensation after autologous breast reconstruction is an increasingly important outcome. Several studies demonstrated improved sensation with flap neurotization but utilized heterogenous measures and follow-up intervals. This review evaluates sensory outcomes after neurotization using uniform, objective outcome measurements.

Functionally Addressing Perioral Impairments of the Paralyzed Face.

Management of facial palsy is targeted toward correction of individual patient concerns. Both esthetic perioral changes to the face and functional perioral deficits are commonly concerning to patients with facial paly. Herein, we review perioral impairments resulting from both flaccid and postparalytic facial palsy.

Use of the Subfascial Plane for Gender-affirming Breast Augmentation: A Case Series.

Unlabelled: Transgender women seeking gender-affirming breast augmentation often present with differences in preoperative chest measurements and contours in comparison with cisgender women. These include a more robust pectoralis muscle and limited glandular tissue, raising important considerations in determining the optimal anatomical plane for implantation. Abundant literature has described advantages and drawbacks of the available planes for breast augmentation in cisgender women.

Median Nerve Neuropathy following Radial Forearm Free Flap Phalloplasty: A Case Report.

As the transgender population increases, gender-affirming surgeries are being performed at unprecedented rates. Despite this increase, complications and long-term outcomes of gender-affirming interventions are largely understudied. We present a transgender patient who underwent radial forearm free flap (RFFF) phalloplasty as part of gender affirmation.