Dynamic muscle transfer in facial reanimation

被引:37
作者
Boahene, Kofi D. O. [1 ]
机构
[1] Johns Hopkins Univ, Div Facial Plast & Reconstruct Surg, Dept Otolaryngol Head & Neck Surg, Sch Med, Baltimore, MD 21287 USA
关键词
facial paralysis; dynamic muscle transfer; temporalis sling; facial reanimation;
D O I
10.1055/s-2008-1075835
中图分类号
R61 [外科手术学];
学科分类号
摘要
Dynamic muscle transfers offer the hope of improved facial support and symmetry, with volitional movement. These are most commonly employed for reanimation of the oral commissure to produce a smile. In addition, muscle transfers have been used successfully to reestablish eye closure. Facial paralysis of long-standing duration presents challenges quite distinct from paralysis that is managed early after onset. It is in this situation, most commonly, that dynamic muscle transfers are used. In this respect, the alternative is free tissue transfer. Each of these two options have advantages and disadvantages.
引用
收藏
页码:204 / 210
页数:7
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