title: [Rehabilitation of facial paralysis using autogenous fascia lata graft. Stable results over time].
abstract: Dynamic facial reanimation with free muscle or nerve transfers represents the mainstay of facial paralysis treatments particularly for perioral area and smile. These techniques are not always feasible, in such cases we perform a perioral suspension with fascia lata graft. However many teams blame this technique for short-term recurrence of the deformity. We describe in this paper details of our surgical technique, to improve the aesthetic result and stability over time, and the results and complications encountered. Fascia lata graft was sutured beyond the midline to the contralateral healthy lips, after tunneling through upper and lower orbicularis oris. Fascia lata graft was then tunneled through the buccal fat pad, then under the zygomatic arch to the temporal region, where the temporal aponeurosis was incised to make way for the fascia lata graft, which was fixed to the outer face of the temporal aponeurosis, applying slight overcorrection to the oral commissure. From 2003 to 2012, we performed this procedure on 8 patients. Results showed an immediate aesthetic improvement, stable over time. Perioral suspension with fascia lata graft is a surgical alternative when dynamic reanimation is not feasible.
authors.affiliation: Service de chirurgie plastique, hôpital de la Conception, 147, boulevard Baille, 13005 Marseille, France. Electronic address: nico_graillon@msn.com.
authors.forename: N
authors.initials: N
authors.lastname: Graillon
authors.affiliation: Service de chirurgie plastique, hôpital de la Conception, 147, boulevard Baille, 13005 Marseille, France.
authors.forename: T
authors.initials: T
authors.lastname: Colson
authors.affiliation: Service de chirurgie plastique, hôpital de la Conception, 147, boulevard Baille, 13005 Marseille, France.
authors.forename: J
authors.initials: J
authors.lastname: Bardot
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D064592:Autografts; D005158:Facial Paralysis / Q000601:surgery*; D005206:Fascia Lata / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: Facial paralysis; Fascia lata; Fascia lata graft; Paralysie faciale; Perioral suspension; Suspension commissurale labiale