Facial reanimation procedures depicted on radiologic imaging.
Various facial reanimation procedures can be performed for treating patients with chronic facial nerve paralysis. The radiologic imaging features of static and dynamic techniques are reviewed in this article with clinical correlation, including brow lift, eyelid weights and springs, gracilis free flaps, fascia lata grafts, temporalis flaps, and Gore-Tex suspension slings. Although the anatomic alterations resulting from facial reanimation surgery may not necessarily be the focus of the imaging examination, it is important to recognize such changes and be familiar with MR imaging compatibility of the associated implanted materials. Furthermore, imaging is sometimes used to specifically evaluate the postoperative results, such as vessel patency following free gracilis transfer.
From the Department of Radiology (D.T.G.), Division of Neuroradiology, Massachusetts General Hospital, Boston, Massachusetts ginatd01@gmail.com.
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DT
Ginat
Department of Otolaryngology (P.B., T.A.H.), Division of Facial Plastic and Reconstructive Surgery.
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Bhama
Department of Radiology (M.E.C.), Massachusetts Eye and Ear Infirmary, Boston, Massachusetts.
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ME
Cunnane
Department of Otolaryngology (P.B., T.A.H.), Division of Facial Plastic and Reconstructive Surgery.
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TA
Hadlock
D003952:Diagnostic Imaging / Q000379:methods*; D005145:Face / Q000000981:diagnostic imaging* / Q000601:surgery; D005155:Facial Nerve Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D005158:Facial Paralysis / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000294:innervation; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*