Evaluating Outcomes of Selective Myectomy of Depressor Anguli Oris, Buccinator, and Platysma in Facial Synkinesis.

IF 1.5 4区医学 Q3 SURGERY

Facial Plastic Surgery Pub Date : 2026-08-01 Epub Date: 2025-11-07 DOI:10.1055/a-2741-2508

Elise Krippaehne, Bastien A Valencia-Sanchez, Murray J Bartho, Kayva Crawford, Myriam Loyo

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引用次数: 0

Abstract

Introduction: Selective myectomy has gained popularity for treating facial synkinesis.

Objectives and hypotheses: We examined the combined effectiveness of depressor anguli oris (DAO), partial buccinator, and platysma myectomies.

Study design: Retrospective case series.

Methods: Pre- and postoperative botulinum toxin-A (BTX-A) treatments of selective myectomy patients were collected. Facial photographs were analyzed using Emotrics + . Facial Asymmetry Index (FAI) and electronic facial paralysis assessment (eFACE) scores were calculated.

Results: Twenty patients underwent myectomies. Improvements (mean ± standard error) were seen in several smile metrics, including FAI by 2.80 ± 0.68 mm, nasolabial fold angle by 4.78 ± 1.83 degrees, and smile angle by 4.43 ± 1.18 degrees (all p < 0.05). Postoperative FAI was 2.79 mm. Total BTX-A decreased by 10.85 ± 4.48 units (p = 0.03). eFACE revealed improved oral commissure movement and platysmal synkinesis (p < 0.05 for both).

Conclusion: Combined myectomies of the DAO, partial buccinator, and platysma clinically and statistically improve smile in facial synkinesis.

查看原文本刊更多论文

选择性切除降口角、颊肌和颈阔肌的效果评价。

导读：选择性肌瘤切除术已被广泛用于治疗面部联动性。目的与假设：我们研究了降角口（DAO）、部分颊肌和阔背肌切除术的联合疗效。研究设计:回顾性病例系列。方法：收集选择性肌瘤切除术患者术前和术后的肉毒毒素a （BTX-A）治疗情况。面部照片分析使用Emotrics+。计算面部不对称指数（FAI）和电子面瘫评分（eFACE）。结果：20例患者行子宫肌瘤切除术。多项微笑指标均有改善（平均±标准误差），包括FAI改善2.80 mm±0.68，鼻唇襞角改善4.78°±1.83，微笑角改善4.43°±1.18。结论：联合切除DAO、部分颊肌和颈阔肌在临床上和统计学上改善了面部联合运动中的微笑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Facial Plastic Surgery 医学-外科

CiteScore

1.80

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Facial Plastic Surgery is a journal that publishes topic-specific issues covering areas of aesthetic and reconstructive plastic surgery as it relates to the head, neck, and face. The journal''s scope includes issues devoted to scar revision, periorbital and mid-face rejuvenation, facial trauma, facial implants, rhinoplasty, neck reconstruction, cleft palate, face lifts, as well as various other emerging minimally invasive procedures. Authors provide a global perspective on each topic, critically evaluate recent works in the field, and apply it to clinical practice.