Featured Research

from universities, journals, and other organizations

Surgical Technique Helps To Reanimate Paralyzed Faces

Date:
July 17, 2007
Source:
JAMA and Archives Journals
Summary:
A surgical technique known as temporalis tendon transfer, in conjunction with intense physical therapy before and after surgery, may help reanimate the features of those with facial paralysis, according to a report in the July/August issue of Archives of Facial Plastic Surgery, one of the JAMA/Archives journals.

A surgical technique known as temporalis tendon transfer, in conjunction with intense physical therapy before and after surgery, may help reanimate the features of those with facial paralysis, according to a report in the July/August issue of Archives of Facial Plastic Surgery, one of the JAMA/Archives journals.

Related Articles


"The rehabilitation of facial paralysis is one of the greatest challenges faced by reconstructive surgeons today," the authors write as background information in the article. "It is an unfortunate fact that there is no ideal procedure that leads to the return of fully normal facial function. Furthermore, every case of facial paralysis is different in the cause of the paralysis, the degree and location of the paralysis and the resulting condition of the facial musculature and surrounding soft tissue envelope." Many patients have excessive movement in some areas of the face and no movement in others; as a result, surgeons treating this condition must be able to perform multiple types of procedures and understand the underlying neurologic dysfunction.

Patrick J. Byrne, M.D., and colleagues at The Johns Hopkins University School of Medicine, Baltimore, report the results of seven facial paralysis patients treated with temporalis tendon transfer. This technique typically involves an incision beginning at the ear and ending 3 to 4 centimeters into the hairline at the temple. The temporalis muscle, a fan-shaped muscle on the side of the head, is cut at the point that it connects to the jawbone and released from the tissue surrounding it. Then, it is stretched to the point where the muscles of the mouth join together. The tendon that previously connected the temporalis muscle to the jawbone is cut free and then stretched horizontally for 3 to 4 centimeters; it is sutured to the surrounding muscles and deep skin tissue. Physical therapy to retrain facial muscles begins before the surgery and continues beginning seven days after the procedure.

At a minimum of four months after the surgery, "patient satisfaction was very high," the authors write. "Of a possible 10 points, patients reported mean [average] satisfaction with appearance of 8.4, with feeding of 8.1, with speech of 8.7 and with smile function of 7.1." Photographs taken of the patients were graded by 21 physicians in the Johns Hopkins Department of Otolaryngology--Head and Neck Surgery. "Four patients were physician-graded as excellent to superb. The other three patients were rated as having good postoperative results."

Movement in each patient's mouth muscles was assessed by measuring the position of the muscles at rest and again when the patient contracted just the temporalis muscle. Movement was identified in all patients following the procedure, with measurements ranging from 1.6 millimeters to 8.5 millimeters and an average of 4.2 millimeters.

"Temporalis tendon transfer is a relatively easy procedure to perform that has distinct advantages compared with other forms of facial reanimation and provides very good results," the authors conclude. These advantages include its immediate effect, the ease with which the tendon is harvested and transferred and the predictability of the outcomes. "This procedure results in improved form and function, may often be performed in a minimally invasive manner and eliminates the facial asymmetry typically produced by temporalis transfer," a similar procedure in which only the temporalis muscle is moved.


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Cite This Page:

JAMA and Archives Journals. "Surgical Technique Helps To Reanimate Paralyzed Faces." ScienceDaily. ScienceDaily, 17 July 2007. <www.sciencedaily.com/releases/2007/07/070716190910.htm>.
JAMA and Archives Journals. (2007, July 17). Surgical Technique Helps To Reanimate Paralyzed Faces. ScienceDaily. Retrieved October 31, 2014 from www.sciencedaily.com/releases/2007/07/070716190910.htm
JAMA and Archives Journals. "Surgical Technique Helps To Reanimate Paralyzed Faces." ScienceDaily. www.sciencedaily.com/releases/2007/07/070716190910.htm (accessed October 31, 2014).

Share This



More Health & Medicine News

Friday, October 31, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Melafind: Spotting Melanoma Without a Biopsy

Melafind: Spotting Melanoma Without a Biopsy

Ivanhoe (Oct. 31, 2014) The MelaFind device is a pain-free way to check suspicious moles for melanoma, without the need for a biopsy. Video provided by Ivanhoe
Powered by NewsLook.com
Battling Multiple Myeloma

Battling Multiple Myeloma

Ivanhoe (Oct. 31, 2014) The answer isn’t always found in new drugs – repurposing an ‘old’ drug that could mean better multiple myeloma treatment, and hope. Video provided by Ivanhoe
Powered by NewsLook.com
Chronic Inflammation and Prostate Cancer

Chronic Inflammation and Prostate Cancer

Ivanhoe (Oct. 31, 2014) New information that is linking chronic inflammation in the prostate and prostate cancer, which may help doctors and patients prevent cancer in the future. Video provided by Ivanhoe
Powered by NewsLook.com
Sickle Cell: Stopping Kids’ Silent Strokes

Sickle Cell: Stopping Kids’ Silent Strokes

Ivanhoe (Oct. 31, 2014) Blood transfusions are proving crucial to young sickle cell patients by helping prevent strokes, even when there is no outward sign of brain injury. Video provided by Ivanhoe
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins