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A Cosmetic Surgical Approach Effectively Reconstructed Facial Nerve Paralysis

In general, facial nerve palsy is treated by reconstructive surgeons, and the role of cosmetic surgeons is largely seen as secondary. The present report describes a case of refractory facial nerve palsy that arose after malignant parotid-tumor resection and high-dose radiotherapy, and that we recons...

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Autores principales: Nomoto, Shunichi, Umezawa, Hiroki, Ogawa, Rei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8219252/
https://www.ncbi.nlm.nih.gov/pubmed/34168937
http://dx.doi.org/10.1097/GOX.0000000000003452
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author Nomoto, Shunichi
Umezawa, Hiroki
Ogawa, Rei
author_facet Nomoto, Shunichi
Umezawa, Hiroki
Ogawa, Rei
author_sort Nomoto, Shunichi
collection PubMed
description In general, facial nerve palsy is treated by reconstructive surgeons, and the role of cosmetic surgeons is largely seen as secondary. The present report describes a case of refractory facial nerve palsy that arose after malignant parotid-tumor resection and high-dose radiotherapy, and that we reconstructed with a combination of cosmetic and reconstructive procedures. The procedures consisted of facelift techniques (lateral SMASectomy, creation of a nasolabial fold with three suture loops anchored at the temporal fascia, and frontal lift), a new wrinkle-removing technique wherein the frontal-muscle function was disrupted, and excision of surplus skin to rejuvenate the face. The outcomes were good, including at 1 year after surgery, and the 71-year-old patient expressed considerable satisfaction. The frontalis muscle resection effectively removed the wrinkles, helped balance the left and right sides, and permitted anti-aging surgery. This procedure has permanent effects, unlike other methods (eg, botulinum-toxin injections) that serve to weaken facial muscle function. It is notable that despite the high-dose radiotherapy the patient had received and the resulting extensive subcutaneous-tissue adhesion, our surgical protocol was relatively easy to perform as well as highly effective. Thus, even static reconstruction can give great hope and satisfaction to patients with facial nerve palsy.
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spelling pubmed-82192522021-06-23 A Cosmetic Surgical Approach Effectively Reconstructed Facial Nerve Paralysis Nomoto, Shunichi Umezawa, Hiroki Ogawa, Rei Plast Reconstr Surg Glob Open Craniofacial/Pediatric In general, facial nerve palsy is treated by reconstructive surgeons, and the role of cosmetic surgeons is largely seen as secondary. The present report describes a case of refractory facial nerve palsy that arose after malignant parotid-tumor resection and high-dose radiotherapy, and that we reconstructed with a combination of cosmetic and reconstructive procedures. The procedures consisted of facelift techniques (lateral SMASectomy, creation of a nasolabial fold with three suture loops anchored at the temporal fascia, and frontal lift), a new wrinkle-removing technique wherein the frontal-muscle function was disrupted, and excision of surplus skin to rejuvenate the face. The outcomes were good, including at 1 year after surgery, and the 71-year-old patient expressed considerable satisfaction. The frontalis muscle resection effectively removed the wrinkles, helped balance the left and right sides, and permitted anti-aging surgery. This procedure has permanent effects, unlike other methods (eg, botulinum-toxin injections) that serve to weaken facial muscle function. It is notable that despite the high-dose radiotherapy the patient had received and the resulting extensive subcutaneous-tissue adhesion, our surgical protocol was relatively easy to perform as well as highly effective. Thus, even static reconstruction can give great hope and satisfaction to patients with facial nerve palsy. Lippincott Williams & Wilkins 2021-06-22 /pmc/articles/PMC8219252/ /pubmed/34168937 http://dx.doi.org/10.1097/GOX.0000000000003452 Text en Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Craniofacial/Pediatric
Nomoto, Shunichi
Umezawa, Hiroki
Ogawa, Rei
A Cosmetic Surgical Approach Effectively Reconstructed Facial Nerve Paralysis
title A Cosmetic Surgical Approach Effectively Reconstructed Facial Nerve Paralysis
title_full A Cosmetic Surgical Approach Effectively Reconstructed Facial Nerve Paralysis
title_fullStr A Cosmetic Surgical Approach Effectively Reconstructed Facial Nerve Paralysis
title_full_unstemmed A Cosmetic Surgical Approach Effectively Reconstructed Facial Nerve Paralysis
title_short A Cosmetic Surgical Approach Effectively Reconstructed Facial Nerve Paralysis
title_sort cosmetic surgical approach effectively reconstructed facial nerve paralysis
topic Craniofacial/Pediatric
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8219252/
https://www.ncbi.nlm.nih.gov/pubmed/34168937
http://dx.doi.org/10.1097/GOX.0000000000003452
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