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Facial nerve injury and decompression. The other 3 patients were rated as having good postoperative results. Correspondence Address. Open in a separate window. Otolaryngol Clin North Am.

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Techniques In Facial Plastic Surgery

Otol Neurotol Controversies in contemporary facial reanimation. This was performed when the philtrum was markedly deviated to the contralateral side. Expert consensus has established that the procedure largely provides positive results, and has likewise found that the scar created at the melolabial fold is not significant and is an acceptable concession for improved function.

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Temporalis tendon transfer as part of

Computing the percentage of difference in the vertical position of the oral commissure between the paralyzed and the unaffected sides allowed us to determine symmetry. The MIT3 procedure can be performed concurrently with nerve grafting. Static Facial paralysis reanimation with fascia lata and tarsorrhaphy is explained step by step. Use of mini-temporalis transposition to improve free muscle outcomes for smile. The Image Assessment Panel for scar assessment developed by Beausang et al was used in order to grade the resulting scar at the melolabial fold. The panel likewise graded the scar at the melolabial fold using the Manchester Scar Scale 18 Figure 7. The MIT3 technique offers immediate, predictable, and symmetrical return of smile function that has several distinct advantages over procedures such as the classical temporalis muscle transfer, free tissue transfers, or other reinnervation techniques.

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Description: Using the Terzis scoring system, surgeons overall found there to be improvement post-operatively mean 3. Reanimation of the middle and lower face in facial paralysis. For new-onset facial paralysis, procedures that restore function to the native musculature, when possible, provide the best possible outcome. Facial paralysis rehabilitation. Patient 3 is a year-old woman who presented to our center with a greater than 5-year history of House-Brackmann grade V facial paralysis. Herein, we describe an approach to temporalis tendon transposition, the minimally invasive temporalis tendon transfer MIT3 , which can be performed through either the melolabial or the transoral approach. A Case Report of a 38 year old Indian male is reported with chronic facial palsy. Review of the literature and personal approach. Discussion In cases of long-standing complete paralysis where reinnervation techniques are not possible, the options for facial reanimation include free tissue transfers and adjacent muscle transfers. Related articles Facial paralysis facial reanimation fascia lata sling temporalis muscle transfer.
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