The outcomes of dynamic procedures for blink restoration in pediatric facial paralysis

Terzis, Julia K. and Karypidis, Dimitrios 2010. The outcomes of dynamic procedures for blink restoration in pediatric facial paralysis. Plastic and Reconstructive Surgery 125 (2) , pp. 629-644. 10.1097/PRS.0b013e3181c91f69

Full text not available from this repository.

Abstract

Background: Surgical planning aims to restore coordinated eyelid function. Although achieving voluntary eye closure is one of the primary goals, it cannot guarantee return of involuntary blink. Restoration of the afferent pathway of the reflex is a prerequisite, but successful coordination of the reflex components and restoration of their time-related function are also required. Methods: A retrospective review of 49 patients who underwent dynamic procedures for blink restoration was performed. The patients were divided into two groups. Group A (n 42) included patients who underwent nerve transfers: cross-facial nerve grafting and subsequent microcoaptations, minihypoglossal nerve transfers, and direct orbicularis oculi neurotization. Group B (n 14) included patients who underwent eye sphincter substitution techniques: pedicled frontalis, free platysma, mini-temporalis, and a slip of free pectoralis minor transfers. Seven of the patients included in the groups underwent both nerve and muscle transfer procedures. Objective blink ratios were measured according to an established protocol by the senior author (J.K.T.). Results: Thirty patients were girls and 19 were boys. The age of the patients ranged from 1 to 17 years, with a mean ± SD age of 7.5 ± 3.2 years. Denervation time ranged from 76 months to 15.25 years. Denervation time ranged from 76 months to 15.25 years. Blink improvement was noted in all of the patients. Blink scores and ratios were consistently better in group A than in group B. Conclusion: Dynamic procedures provide the functional potential on which subsequent static procedures can be performed to aid blink return, taking into account the future needs of the still growing patient.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Publisher:	Lippincott, Williams & Wilkins
ISSN:	0032-1052
Last Modified:	03 Jul 2018 13:33
URI:	https://orca.cardiff.ac.uk/id/eprint/111091

Citation Data

Cited 30 times in Scopus. View in Scopus. Powered By Scopus® Data

Actions (repository staff only)

Edit Item