The sternohyoid muscle flap for new dynamic facial reanimation technique: Anatomical study and clinical results
Por:
Sune, CH, Lopez, CC, Lopez, PM, Senosiain, OG, Escribano, MD, Poyatos, JV, Barcelo, LH, Alcazar, AR, Carrera-Burgaya, A, De la Torre, FR, Martinez-Pineiro, A and Cabezas, EA
Publicada:
1 nov 2021
Ahead of Print:
1 oct 2021
Resumen:
Background: Long-term facial nerve palsy has a highly negative impact on patients' quality of life. In 2016, Alam reported one case of facial reanimation with the sternohyoid muscle after publishing a preclinical study in 2013. Despite the potentially ideal characteristics of this muscle for reanimation of facial palsy, this technique is still not widely used. The objective of our description of cases was to present the clinical results obtained with the surgical procedure and the study on cadavers to confirm the anatomical findings.
Methods: This work describes the anatomical study of the vascular and nervous pedicle of the sternohyoid muscle compared with clinical results from a series of patients with long-term facial paralysis who underwent facial reanimation between June 2016 and September 2019, through the insertion of the sternohyoid muscle into the masseteric nerve.
Results: The anatomical study was conducted in eight human hemi-necks. In five cases (62%), the vascular pedicle was provided by the superior thyroid artery, and the entrance of the ansa cervicalis to the muscle was constant 1.8 cm from the distal insertion. This series included ten patients who underwent the surgery technique of facial reanimation using the sternohyoid muscle, with a 90% (n =9) of reinnervation; 100% (n = 10) of flaps were viable, and none of the patients showed complications in the donor area.
Conclusions: The sternohyoid muscle showed itself as a reliable muscle as a free flap in facial reanimation, and alternative to the gracilis flap. The surgical technique was safe, without any complications, with excellent excursion, recovery, and aesthetic results. (C) 2021 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Filiaciones:
:
Hosp Univ Germans Trias i Pujol, Plast Surg Serv, Badalona, Spain
:
Hosp Univ Germans Trias i Pujol, Plast Surg Serv, Badalona, Spain
Lopez, PM:
Hosp Univ Germans Trias i Pujol, Plast Surg Serv, Badalona, Spain
Senosiain, OG:
Hosp Univ Germans Trias i Pujol, Plast Surg Serv, Badalona, Spain
Escribano, MD:
Hosp Univ Germans Trias i Pujol, Plast Surg Serv, Badalona, Spain
Poyatos, JV:
Hosp Univ Germans Trias i Pujol, Plast Surg Serv, Badalona, Spain
Barcelo, LH:
Hosp Univ Germans Trias i Pujol, Plast Surg Serv, Badalona, Spain
Alcazar, AR:
Hosp Univ Germans Trias i Pujol, Rehabil Serv, Badalona, Spain
Carrera-Burgaya, A:
Univ Girona, Sch Med, Dept Med Sci, Clin Anat Embryol & Neurosci Res Grp NEOMA, Girona, Spain
De la Torre, FR:
Univ Girona, Sch Med, Dept Med Sci, Clin Anat Embryol & Neurosci Res Grp NEOMA, Girona, Spain
:
Hosp Univ Germans Trias I Pujol, Neurol Serv, Badalona, Spain
Cabezas, EA:
Hosp Univ Germans Trias i Pujol, Otorhinolaryngol Serv, Badalona, Spain
|