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Verfasst von:Aycart, Mario A. [VerfasserIn]   i
 Perry, Bridget [VerfasserIn]   i
 Alhefzi, Muayyad [VerfasserIn]   i
 Bueno, Ericka M. [VerfasserIn]   i
 Kueckelhaus, Maximilian [VerfasserIn]   i
 Fischer, Sebastian [VerfasserIn]   i
 Pomahac, Bohdan [VerfasserIn]   i
Titel:Surgical optimization of motor recovery in face transplantation
Verf.angabe:Aycart, Mario A. MD; Perry, Bridget MS; Alhefzi, Muayyad MD; Bueno, Ericka M. PhD; Kueckelhaus, Maximilian MD; Fischer, Sebastian MD; Pomahac, Bohdan MD
E-Jahr:2016
Jahr:March 2016
Umfang:7 S.
Fussnoten:Gesehen am 19.08.2020
Titel Quelle:Enthalten in: The journal of craniofacial surgery
Ort Quelle:Philadelphia, Pa. : Lippincott Williams & Wilkins, 1990
Jahr Quelle:2016
Band/Heft Quelle:27(2016), 2, Seite 286-292
ISSN Quelle:1536-3732
Abstract:Background: - Face transplantation (FT) has emerged as a viable option for treating devastating facial injuries. Most reported outcomes have demonstrated satisfactory motor and sensory restoration despite differences in technique. The authors have developed an algorithm of facial nerve management in these challenging patients. Our principles of management are illustrated by 2 specific patients. - Methods: - A retrospective analysis of prospectively collected data on 2 full face transplants was performed. Both patients required nerve grafting during full FT. Patient 1 due to short donor facial nerve stumps and patient 2 due to intraoperative soft tissue swelling. Patient 2 required a nerve transfer 11 months after full FT due to impaired motor recovery opposite the side of nerve grafting. Follow-up examinations consisting of manual muscle testing and Sunnybrook Facial Grading System 6 to 42 months after full FT with selected video examinations were critically reviewed. - Results: - Patient 1 had symmetrical motor recovery with gradual improvements noted throughout. At 6 months, Patient 2 had asymmetrically improving motor function. After nerve transfer, the patient showed gradual improvement in motor recovery, symmetry, and tone. Videos for each patient demonstrate the evolution of the patients’ ability to smile from 6 to 42 months. - Discussion: - The authors describe their assessment of motor recovery and management of facial nerve reconstruction as it pertains to FT. Finally, the authors illustrate the principles of nerve transfer are applicable to FT recipients.
DOI:doi:10.1097/SCS.0000000000002305
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1097/SCS.0000000000002305
 Volltext: https://journals.lww.com/jcraniofacialsurgery/Fulltext/2016/03000/Surgical_Optimization_of_Motor_Recovery_in_Face.4.aspx
 DOI: https://doi.org/10.1097/SCS.0000000000002305
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1727424638
Verknüpfungen:→ Zeitschrift

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