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...

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Autores principales: Janik, Stefan, Marijic, Blazen, Faisal, Muhammad, Grasl, Stefan, Tzou, Chieh‐Han J., Rodriquez‐Lorenzo, Andres, Seemann, Rudolf, Leonhard, Matthias, Erovic, Boban M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2022
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.
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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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