Microvascular Gracilis Free Flap: Single and Double Innervation.

Atlas of the oral and maxillofacial surgery clinics of North America 2023 Vol.31(1) p. 33-41

Varman R, Miller MQ

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Abstract

Facial paralysis (FP) is a devastating condition that can lead to significant aesthetic, social, and emotional morbidities for patients. For some patients with FP, free gracilis muscle transfer (FGMT) is the best option for smile restoration. Masseteric-driven FGMT produces a reliable voluntary smile. Cross-face nerve graft-driven FGMT can produce a spontaneous smile, but this technique has higher failure rates. Early studies suggest dual-innervation FGMT can produce a spontaneous smile while maintaining the reliability of masseteric-driven procedures. Great care should be taken during FGMT surgery to minimize facial bulk and place medial inset sutures that create a natural-appearing smile.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 microvascular 미세수술 dict 1
시술 free flap 피판재건술 dict 1
해부 gracilis muscle scispacy 1
해부 medial scispacy 1
합병증 Microvascular Gracilis scispacy 1
질환 paralysis C0522224
Paralysed
scispacy 1
질환 FGMT → free gracilis muscle transfer scispacy 1
기타 patients scispacy 1
기타 FGMT → free gracilis muscle transfer scispacy 1
기타 Cross-face nerve scispacy 1

MeSH Terms

Humans; Gracilis Muscle; Free Tissue Flaps; Reproducibility of Results; Plastic Surgery Procedures; Esthetics, Dental; Facial Paralysis

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