Muscle transposition and free muscle transfer in facial nerve reanimation.

Curr Opin Otolaryngol Head Neck Surg

Department of Head and Neck, Plastic and Reconstructive Surgery, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.

Published: October 2024

AI Article Synopsis

  • This review discusses recent advancements in facial reanimation surgery, focusing on techniques like muscle transposition and free functional muscle transfer (FFMT) to treat chronic facial paralysis.
  • Key findings include comparisons between single and dual innervated FFMT, the reanimation of specific facial areas, and new donor sites for muscle transfer.
  • The ongoing standard for dynamic facial reanimation remains Gracilis FFMT, while muscle transposition is suitable for older or medically unfit patients seeking quicker results, highlighting the need for standardized reporting in future research.

Article Abstract

Purpose Of Review: This review highlights recent advances in facial reanimation surgery particularly related to muscle transposition and free functional muscle transfer (FFMT).

Recent Findings: FFMT and muscle transposition are mainstays in the treatment of chronic facial paralysis. Recent literature evaluates single versus dual innervated FFMT, reanimation of the periocular region and lower lip depressors, and indications for such methods over gold standard FFMT techniques. New donor sites for muscle transposition and FFMT are also described.

Summary: Gracilis FFMT (GFMT) continues to be the gold standard in dynamic facial reanimation for patients with chronic facial paralysis. Muscle transposition should be considered in older patients, those medically unfit for long operative procedures, and individuals who prefer more immediate results. With respect to FFMT, described nerve coaptation patterns, surgical stages, and donor muscle choice vary. Standardization of data reporting and outcome measures is needed in future studies.

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Source
http://dx.doi.org/10.1097/MOO.0000000000000940DOI Listing

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