Dual Innervation of Free Functional Muscle Flaps in Facial Paralysis - 01/07/21
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Résumé |
Dual innervation in free muscle flap facial reanimation has been used to create a functional synergy between the powerful commissure excursion that can be achieved with the masseter nerve and the spontaneity that can be derived from a cross-face nerve graft. The gracilis has been the most frequently used muscle flap, and multiple combinations of neurorrhaphies have been described, including the masseter to the obturator (end-to-end) combined with a cross-face nerve graft to the obturator (end-to-side) and vice versa. Single and staged approaches have been reported. Minimally, dual innervation is as effective as using the motor nerve to masseter alone.
Le texte complet de cet article est disponible en PDF.Keywords : Dual innervation, Free functional muscle flap, Facial paralysis, Nerve to masseter, Cross-face nerve graft
Plan
Vol 29 - N° 3
P. 431-438 - août 2021 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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