Tri-Vector Gracilis Microneurovascular Free Tissue Transfer with Periocular Component to Achieve a Duchenne Smile in Patients with Facial Paralysis.
Abstract
Traditional techniques of facial reanimation using gracilis free tissue transfer do not address the lower eyelid or provide contraction at the site of orbicularis oculi, which is necessary to create a natural appearing Duchenne smile. In this report, we describe a novel technique to achieve this element of a true mimetic smile using a tri-vector gracilis muscle flap. To describe a novel gracilis free flap technique for facial reanimation to provide contraction of the inferior and lateral orbicularis oculi and achieve a Duchenne smile. This was a surgical pearls-description of a novel surgical technique at Academic Tertiary Medical Center. Three patients underwent the operation.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | free flap
|
피판재건술 | dict | 1 | |
| 시술 | flap
|
피판재건술 | dict | 1 | |
| 해부 | Periocular
|
scispacy | 1 | ||
| 해부 | gracilis
|
scispacy | 1 | ||
| 해부 | tissue
|
scispacy | 1 | ||
| 해부 | gracilis muscle flap
|
scispacy | 1 | ||
| 해부 | lateral orbicularis oculi
|
scispacy | 1 | ||
| 해부 | lower eyelid
|
눈꺼풀 | dict | 1 | |
| 합병증 | Gracilis Microneurovascular
|
scispacy | 1 | ||
| 합병증 | Facial Paralysis
|
scispacy | 1 | ||
| 합병증 | eyelid
|
scispacy | 1 | ||
| 질환 | Duchenne
|
scispacy | 1 | ||
| 질환 | Duchenne smile
|
scispacy | 1 | ||
| 질환 | orbicularis oculi
|
scispacy | 1 | ||
| 기타 | Patients
|
scispacy | 1 |
MeSH Terms
Humans; Gracilis Muscle; Facial Paralysis; Plastic Surgery Procedures; Retrospective Studies; Treatment Outcome
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