Document Detail

An algorithm to guide recipient vessel selection in cases of free functional muscle transfer for facial reanimation.
MedLine Citation:
PMID:  25396185     Owner:  NLM     Status:  PubMed-not-MEDLINE    
BACKGROUND: The aim of this study was to review the recipient vessels used in our cases of facial reanimation with free functional muscle transfer and to identify patient variables that may predict when the facial vessels are absent. From this we present a protocol for vessel selection in cases when the facial artery and/or vein are absent.
METHODS: Patients were identified from November 2006 to October 2013. Data was collected on patient demographics, facial palsy aetiology, history of previous facial surgery/trauma and flap/recipient vessels used. A standard operative approach was adopted and performed by a single surgeon.
RESULTS: Eighty-seven eligible patients were identified for inclusion amongst which 98 hemifaces were operated upon. The facial artery and vein were the most commonly used recipient vessels (90% and 83% of patients, respectively). Commonly used alternative vessels were the transverse facial vein and superficial temporal artery. Those with congenital facial palsy were significantly more likely to lack a suitable facial vein (P=0.03) and those with a history of previous facial surgery or trauma were significantly more likely to have an absent facial artery and vein (P<0.05).
CONCLUSIONS: Our algorithm can help to guide vessel selection cases of facial reanimation with free functional muscle transfer. Amongst patients with congenital facial palsy or in those with a previous history of facial surgery or trauma, the facial vessels are more likely to be absent and so the surgeon should then look towards the transverse facial vein and superficial temporal artery as alternative recipient structures.
Francis P Henry; Jonathan I Leckenby; Daniel P Butler; Adriaan O Grobbelaar
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Publication Detail:
Type:  Journal Article     Date:  2014-11-03
Journal Detail:
Title:  Archives of plastic surgery     Volume:  41     ISSN:  2234-6163     ISO Abbreviation:  Arch Plast Surg     Publication Date:  2014 Nov 
Date Detail:
Created Date:  2014-11-14     Completed Date:  2014-11-14     Revised Date:  2014-11-16    
Medline Journal Info:
Nlm Unique ID:  101577999     Medline TA:  Arch Plast Surg     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  716-21     Citation Subset:  -    
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