[One-stage extralong neurovascular pedicled segmental muscle flap transfer in the treatment of late facial paralysis].
One-stage extralong neurovascular pedicled segmental muscle flap transfer was used in the treatment of late facial paralysis in 10 cases. The length of ultralong neurovascular pedicle (14-17.5 cm) was longer than that of normal muscle flap (3.5-8 cm), since the former included dorsal thoracic artery, vein and nerve with their branches and ending segments as a whole. Compared with the current operations, the design of this operation can omit the cross-facial nerve graft in the first stage of operation and prevent the possible failure of additional nerve anastomosis. Ten cases were followed up for more than a year. All of them revealed voluntary movement of the transferred muscle flap with satisfactory results.
Wang
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Ninth Hospitat, Shanghai Second Medical University.
D000293:Adolescent; D000328:Adult; D002648:Child; D005158:Facial Paralysis / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009416:Nerve Regeneration; D016067:Nerve Transfer / Q000379:methods; D013524:Surgical Flaps / Q000379:methods*