Using the serratus anterior free flap for dynamic facial reanimation: Systematic review
It was the purpose of this study to evaluate the role of the serratus anterior free flap (SAFF) with its long thoracic nerve (LTN) as composite flap for dynamic facial reanimation. A total of 10 studies, published between 2004 and 2021, met inclusion criteria. Clinical data of 48 patients were used...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10092056/ https://www.ncbi.nlm.nih.gov/pubmed/36263461 http://dx.doi.org/10.1002/hed.27219 |
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author | Janik, Stefan Marijic, Blazen Faisal, Muhammad Grasl, Stefan Tzou, Chieh‐Han J. Rodriquez‐Lorenzo, Andres Seemann, Rudolf Leonhard, Matthias Erovic, Boban M. |
author_facet | Janik, Stefan Marijic, Blazen Faisal, Muhammad Grasl, Stefan Tzou, Chieh‐Han J. Rodriquez‐Lorenzo, Andres Seemann, Rudolf Leonhard, Matthias Erovic, Boban M. |
author_sort | Janik, Stefan |
collection | PubMed |
description | It was the purpose of this study to evaluate the role of the serratus anterior free flap (SAFF) with its long thoracic nerve (LTN) as composite flap for dynamic facial reanimation. A total of 10 studies, published between 2004 and 2021, met inclusion criteria. Clinical data of 48 patients were used for the systematic review and analysis. One to three slips were used, mainly as one‐stage procedures (n = 39; 81.3%), to create different force vectors. Single or double innervated muscle transfers were utilized in 32 (66.7%) and 16 (33.3%) cases with additionally harvested skin paddles in 4 (8.3%) patients. The LTN was mostly anastomosed to the ipsilateral masseteric nerve (45.8%; n = 22) or to remaining facial nerve branches (37.5%; n = 18), while cross‐facial‐nerve‐grafting was rarely used (16.7%; n = 8). The SAFF as composite flap with different force vectors proved to be a good candidate for immediate dynamic facial reanimation after any midface defects. |
format | Online Article Text |
id | pubmed-10092056 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley & Sons, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100920562023-04-13 Using the serratus anterior free flap for dynamic facial reanimation: Systematic review Janik, Stefan Marijic, Blazen Faisal, Muhammad Grasl, Stefan Tzou, Chieh‐Han J. Rodriquez‐Lorenzo, Andres Seemann, Rudolf Leonhard, Matthias Erovic, Boban M. Head Neck Clinical Reviews It was the purpose of this study to evaluate the role of the serratus anterior free flap (SAFF) with its long thoracic nerve (LTN) as composite flap for dynamic facial reanimation. A total of 10 studies, published between 2004 and 2021, met inclusion criteria. Clinical data of 48 patients were used for the systematic review and analysis. One to three slips were used, mainly as one‐stage procedures (n = 39; 81.3%), to create different force vectors. Single or double innervated muscle transfers were utilized in 32 (66.7%) and 16 (33.3%) cases with additionally harvested skin paddles in 4 (8.3%) patients. The LTN was mostly anastomosed to the ipsilateral masseteric nerve (45.8%; n = 22) or to remaining facial nerve branches (37.5%; n = 18), while cross‐facial‐nerve‐grafting was rarely used (16.7%; n = 8). The SAFF as composite flap with different force vectors proved to be a good candidate for immediate dynamic facial reanimation after any midface defects. John Wiley & Sons, Inc. 2022-10-19 2023-01 /pmc/articles/PMC10092056/ /pubmed/36263461 http://dx.doi.org/10.1002/hed.27219 Text en © 2022 The Authors. Head & Neck published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Reviews Janik, Stefan Marijic, Blazen Faisal, Muhammad Grasl, Stefan Tzou, Chieh‐Han J. Rodriquez‐Lorenzo, Andres Seemann, Rudolf Leonhard, Matthias Erovic, Boban M. Using the serratus anterior free flap for dynamic facial reanimation: Systematic review |
title | Using the serratus anterior free flap for dynamic facial reanimation: Systematic review |
title_full | Using the serratus anterior free flap for dynamic facial reanimation: Systematic review |
title_fullStr | Using the serratus anterior free flap for dynamic facial reanimation: Systematic review |
title_full_unstemmed | Using the serratus anterior free flap for dynamic facial reanimation: Systematic review |
title_short | Using the serratus anterior free flap for dynamic facial reanimation: Systematic review |
title_sort | using the serratus anterior free flap for dynamic facial reanimation: systematic review |
topic | Clinical Reviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10092056/ https://www.ncbi.nlm.nih.gov/pubmed/36263461 http://dx.doi.org/10.1002/hed.27219 |
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