[Transferring neurovascular rectus femoris muscle segment for treatment of facial paralysis].

Abstract

OBJECTIVE:

To investigate a new technique for functional treatment of chronic facial paralysis.

METHODS:

Based on anatomy of intramuscular neurovascular structure in the rectus femoris muscle, 7 consecutive patients with facial paralysis were treated by using a technique of microsurgically free-transferring neurovascular rectus femoris muscle segment to the face in one-stage. Follow-ups were 10 to 24 months.

RESULTS:

All of the 7 patients showed significantly improvement in the appearance of the oral commissure and oral competence. No complications occurred in the donor site.

CONCLUSIONS:

The above mentioned technique may have the advantages of preventing the intramuscular nerve and vessel from the surgical injury during splitting the muscle. It could also maintain the transferred muscular segment in a proper tension in the recipient site.

• Authors: Da-ping Yang, De-hong Guan, Xue-wu Xu, Tie-fang Guo, Xue-feng Han
• Journal: Zhonghua zheng xing wai ke za zhi = Zhonghua zhengxing waike zazhi = Chinese journal of plastic surgery (Zhonghua Zheng Xing Wai Ke Za Zhi) Vol. 19 Issue 2 Pg. 101-3 (Mar 2003) ISSN: 1009-4598 [Print] China
• PMID: 12889185 (Publication Type: Journal Article)

Topics

• Facial Paralysis (surgery)
• Follow-Up Studies
• Humans
• Microsurgery (methods)
• Quadriceps Muscle (blood supply, innervation, transplantation)
• Plastic Surgery Procedures
• Transplant Donor Site
• Treatment Outcome