Cross-facial and functional microvascular muscle transplantation for longstanding facial paralysis.
Functional results continue to improve with advancing microsurgical techniques and monitoring to detect and correct problems within minutes [47]. However, failures do occur, even when one can project a 98% survival for the transplant. Figs. 9 and 10 show two of our early cases that were fortunately salvaged with a second microvascular transplant. Evaluation of the result is a continuing challenge--anatomically, physiologically, and psychologically [37]. If one can remove the stigma or stigmata of facial paralysis in the patient's mind. success has been achieved (Fig. II) [48].
Buncke
Harry J
HJ
The Buncke Clinic, CPMC Davies Campus, #140N, San Francisco, CA 94114, USA. hjb@buncke.org
Buncke
Gregory M
GM
Kind
Gabriel M
GM
Buntic
Rudolf F
RF
Brooks
Darrell
D
Chin
Brien T
BT
D005143:Eyelids / Q000503:physiopathology / Q000601:surgery; D005158:Facial Paralysis / Q000503:physiopathology / Q000601:surgery*; D006046:Gold / Q000627:therapeutic use; D006801:Humans; D008866:Microsurgery / Q000379:methods*; D018482:Muscle, Skeletal / Q000637:transplantation*; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures / Q000379:methods*; D012720:Severity of Illness Index; D013524:Surgical Flaps
D006046:Gold