Muscle transposition and free muscle transfer in facial nerve reanimation.

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2024-10-01 Epub Date: 2023-10-25 DOI:10.1097/MOO.0000000000000940

Kia Jones, S Mark Taylor, Ayham Al Afif

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Abstract

Purpose of review: This review highlights recent advances in facial reanimation surgery particularly related to muscle transposition and free functional muscle transfer (FFMT).

Recent findings: FFMT and muscle transposition are mainstays in the treatment of chronic facial paralysis. Recent literature evaluates single versus dual innervated FFMT, reanimation of the periocular region and lower lip depressors, and indications for such methods over gold standard FFMT techniques. New donor sites for muscle transposition and FFMT are also described.

Summary: Gracilis FFMT (GFMT) continues to be the gold standard in dynamic facial reanimation for patients with chronic facial paralysis. Muscle transposition should be considered in older patients, those medically unfit for long operative procedures, and individuals who prefer more immediate results. With respect to FFMT, described nerve coaptation patterns, surgical stages, and donor muscle choice vary. Standardization of data reporting and outcome measures is needed in future studies.

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面神经再生中的肌肉移位和游离肌肉转移。

综述的目的：这篇综述强调了面部复活手术的最新进展，特别是与肌肉移位和自由功能性肌肉转移（FFMT）有关的进展。最近的发现：FFMT和肌肉移位是治疗慢性面瘫的支柱。最近的文献评估了单神经支配与双神经支配的FFMT，眼周区域和下唇压药的复活，以及这些方法相对于金标准FFMT技术的适应症。还描述了用于肌肉移位和FFMT的新的供体位点。摘要：Gracilis FFMT（GFMT）仍然是慢性面瘫患者动态面部复活的金标准。对于年龄较大的患者、身体不适合长期手术的患者以及喜欢更直接结果的患者，应考虑肌肉移位。关于FFMT，所描述的神经接合模式、手术阶段和供体肌肉的选择各不相同。在今后的研究中，需要对数据报告和成果衡量标准进行标准化。

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

Current Opinion in Otolaryngology & Head and Neck Surgery OTORHINOLARYNGOLOGY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.