Outcomes of Facial Symmetry and Tone at Rest After Masseteric-to-Facial Nerve Transfer.
Facial Plast Surg Aesthet Med
; 23(5): 357-361, 2021 09.
Article
em En
| MEDLINE
| ID: mdl-32757958
ABSTRACT
Importance Masseteric-to-facial nerve transfer has gained popularity as a technique that provides dynamic voluntary function in unilateral facial paralysis. Despite the multiple studies that have demonstrated its efficiency in restoring dynamic facial function, there is a paucity of data on the effects on facial symmetry and tone at rest. Objective:
To evaluate facial symmetry and tone at rest after masseteric-to-facial nerve transfer in patients with unilateral facial paralysis. Design, Setting, andParticipants:
This is a retrospective review of patients undergoing masseteric-to-facial nerve transfer for unilateral facial nerve paralysis at a tertiary academic center from 2012 to 2016. Patient demographics, etiology and duration of facial nerve paralysis, intervention, and the electronic Facial Assessment by Computer Evaluation (eFACE) scores were analyzed. Intervention Masseteric-to-facial nerve transfer. Main Outcomes andMeasures:
Resting facial symmetry and tone was graded preoperatively and postoperatively using eFACE.Results:
The study included 11 patients with complete unilateral facial paralysis treated with masseteric-to-facial nerve transfer from 2012 to 2016. Postoperative eFACE scores across the dynamic midface and smile scores demonstrated a statistically significant increase compared with preoperative eFACE scores (p < 0.001). There was no statistically significant difference found between preoperative and postoperative static midface and smile eFACE scores.Conclusions:
Masseteric-to-facial nerve transfer has demonstrated promising results in restoration of voluntary smile. However, it has little to no effect on resting facial symmetry and tone.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Sorriso
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Transferência de Nervo
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Nervo Facial
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Paralisia Facial
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Nervo Mandibular
Tipo de estudo:
Observational_studies
Limite:
Female
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Humans
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Male
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Middle aged
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article