Francesco Bussu, Pierangela Tramaloni, Paolo Tropiano, Marta Bonomo, Claudia Crescio, Nicolò Sotgiu, Marco Perla, Davide Rizzo, Jacopo Galli
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Abstract
Objective: This study aims at evaluating the outcomes and patient satisfaction of the Labbé operation, a lengthening temporalis myoplasty procedure, in the treatment of longstanding complete facial paralysis.
Study design: We conducted a multicenter, retrospective observational study.
Setting: The research analyzed 38 patients with unilateral facial paralysis treated at three Italian institutions between 2009 and 2024.
Patients: The study included patients with severe unilateral facial paralysis, classified as House-Brackmann grades V or VI, of various etiologies. The patients, predominantly females, had a mean age of 43 years.
Interventions: These patients underwent surgical rehabilitation of facial nerve paralysis through the Labbé procedure, which involves transferring the temporalis muscle tendon to the labial rim while maintaining innervation through the trigeminal nerve, to restore dynamic function of the inferior part of the face.
Main outcome measures: Preoperative and postoperative outcomes were assessed using the Facial Clinimetric Evaluation (FaCE) questionnaire, which measures functional and psychosocial impacts.
Results: The only early surgical complication recorded was bleeding (1 of 38 cases). Out of the 38 patients, 17 completed the follow-up evaluations. Postoperative results showed significant improvements in quality of life and facial function, with a mean FaCE score increase of 38.6 points. Complications and long-term sequelae were rare and exclusively related to underlying malignant pathology (and to further treatments).
Conclusions: In selected cases, the Labbé procedure has proven to be an effective, single-stage surgical option for addressing the aesthetic and functional deficits associated with longstanding facial paralysis. This procedure offers rapid recovery and low morbidity, making it a valuable therapeutic option for improving patient outcomes.
期刊介绍：
Otology & Neurotology publishes original articles relating to both clinical and basic science aspects of otology, neurotology, and cranial base surgery. As the foremost journal in its field, it has become the favored place for publishing the best of new science relating to the human ear and its diseases. The broadly international character of its contributing authors, editorial board, and readership provides the Journal its decidedly global perspective.
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