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 23, 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 23, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Sunday, November 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Ebola-Hit Sierra Leone's Late Cocoa Leaves Bitter Taste

Ebola-Hit Sierra Leone's Late Cocoa Leaves Bitter Taste

AFP (Nov. 23, 2014) The arable district of Kenema in Sierra Leone -- at the centre of the Ebola outbreak in May -- has been under quarantine for three months as the cocoa harvest comes in. Duration: 01:32 Video provided by AFP
Powered by NewsLook.com
Don't Fall For Flu Shot Myths

Don't Fall For Flu Shot Myths

Newsy (Nov. 23, 2014) Misconceptions abound when it comes to your annual flu shot. Medical experts say most people older than 6 months should get the shot. Video provided by Newsy
Powered by NewsLook.com
WFP: Ebola Risks Heightened Among Women Throughout Africa

WFP: Ebola Risks Heightened Among Women Throughout Africa

AFP (Nov. 21, 2014) Having children has always been a frightening prospect in Sierra Leone, the world's most dangerous place to give birth, but Ebola has presented an alarming new threat for expectant mothers. Duration: 00:37 Video provided by AFP
Powered by NewsLook.com
Could Your Genes Be The Reason You're Single?

Could Your Genes Be The Reason You're Single?

Newsy (Nov. 21, 2014) Researchers in Beijing discovered a gene called 5-HTA1, and carriers are reportedly 20 percent more likely to be single. 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