Featured Research

from universities, journals, and other organizations

Minimally invasive technique appears helpful to reanimate facial paralysis

Date:
January 18, 2011
Source:
JAMA and Archives Journals
Summary:
A procedure involving only one small incision and no major modifications to bone can be used to transpose a tendon and appears helpful in reanimating the lower face after paralysis, according to a new study.

A procedure involving only one small incision and no major modifications to bone can be used to transpose a tendon and appears helpful in reanimating the lower face after paralysis, according to a report in the January/February issue of Archives of Facial Plastic Surgery, one of the JAMA/Archives journals.

Related Articles


"The primary goal of all facial reanimation protocols is to restore facial movement that is controlled, symmetrical and spontaneous," the authors write as background information in the article. Previously, researchers reported a method of transferring the temporalis tendon -- a tendon attached to the temporalis muscle, a large fan-shaped muscle on the side of the head -- to reanimate the face. The procedure involved an incision at the temple and surgical dissection of the temporalis muscle.

Kofi D. Boahene, M.D., and colleagues at the Johns Hopkins University School of Medicine, Baltimore, report a case series of 17 consecutive patients with facial paralysis who underwent a minimally invasive temporalis tendon transposition procedure between 2006 and 2008. The technique now involves only one small incision, and the tendon is accessed through the skin folds on the side of the nose or through the mouth.

"All the patients tolerated the procedure well, and none developed procedure-related complications," the authors write. "All the patients achieved improved symmetry at rest and voluntary motion of the oral commissure [corners of the mouth]."

With this technique, directed physical therapy is necessary to achieve the best outcome, the authors note. "The visible movement gained from dynamic muscle transposition does not translate into a spontaneous controlled smile without intensive neuromuscular retraining," they write. The patient first learns and practices a "Mona Lisa" smile, in which the corners of the mouth are elevated but not the upper or lower lip. They then learn to smile by contracting the temporal muscle without moving the jaw.

"Dynamic reanimation after facial paralysis remains challenging but can be achieved in selected patients using the minimally invasive temporalis tendon transposition (MIT3)," the authors conclude. "Although the technique is straightforward and dynamic movement can be demonstrated with intraoperative muscle stimulation, acquisition of desired facial movement requires intensive physiotherapy and a motivated patient."


Story Source:

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


Journal Reference:

  1. Kofi D. Boahene, Tarik Y. Farrag, Lisa Ishii, Patrick J. Byrne. Minimally Invasive Temporalis Tendon Transposition. Archives of Facial Plastic Surgery, 2011;13(1):8-13 DOI: 10.1001/archfacial.2010.100

Cite This Page:

JAMA and Archives Journals. "Minimally invasive technique appears helpful to reanimate facial paralysis." ScienceDaily. ScienceDaily, 18 January 2011. <www.sciencedaily.com/releases/2011/01/110117161452.htm>.
JAMA and Archives Journals. (2011, January 18). Minimally invasive technique appears helpful to reanimate facial paralysis. ScienceDaily. Retrieved November 28, 2014 from www.sciencedaily.com/releases/2011/01/110117161452.htm
JAMA and Archives Journals. "Minimally invasive technique appears helpful to reanimate facial paralysis." ScienceDaily. www.sciencedaily.com/releases/2011/01/110117161452.htm (accessed November 28, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Friday, November 28, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Rural India's Low-Cost Sanitary Pad Revolution

Rural India's Low-Cost Sanitary Pad Revolution

AFP (Nov. 28, 2014) — One man hopes his invention -– a machine that produces cheap sanitary pads –- will help empower Indian women. Duration: 01:51 Video provided by AFP
Powered by NewsLook.com
Research on Bats Could Help Develop Drugs Against Ebola

Research on Bats Could Help Develop Drugs Against Ebola

AFP (Nov. 28, 2014) — In Africa's only biosafety level 4 laboratory, scientists have been carrying out experiments on bats to understand how virus like Ebola are being transmitted, and how some of them resist to it. Duration: 01:18 Video provided by AFP
Powered by NewsLook.com
Ebola Leaves Orphans Alone in Sierra Leone

Ebola Leaves Orphans Alone in Sierra Leone

AFP (Nov. 27, 2014) — The Ebola epidemic sweeping Sierra Leone is having a profound effect on the country's children, many of whom have been left without any family members to support them. Duration: 01:02 Video provided by AFP
Powered by NewsLook.com
Experimental Ebola Vaccine Shows Promise In Human Trial

Experimental Ebola Vaccine Shows Promise In Human Trial

Newsy (Nov. 27, 2014) — A recent test of a prototype Ebola vaccine generated an immune response to the disease in subjects. Video provided by Newsy
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