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PubMed · 12484600

Basic science behind functioning free muscle transplantation.

Kazuteru Doi·Yasunori Hattori·Soo-Heong Tan·Vikas Dhawan
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Abstract

Free muscle transfer is now a feasible procedure in several fields of reconstructive surgery. In this article, basic science behind clinical free muscle transfer, including essential aspects like donor muscle selection (type of blood supply, architecture of fibers, fiber length, and muscle volume), donor nerve selection, placement and routing of muscle, tension of muscle at suturing, postoperative monitoring of muscle circulation, postoperative reinnervation, and rehabilitation are discussed in detail.

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Facial ParalysisHumansMuscle Fibers, SkeletalMuscle, SkeletalPlastic Surgery ProceduresSurgical FlapsJournal ArticleReview

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BibTeXRIS

Kazuteru Doi, Yasunori Hattori, Soo-Heong Tan, Vikas Dhawan. 2002. Basic science behind functioning free muscle transplantation.. https://doi.org/10.1016/s0094-1298(02)00020-2

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Facial nerve stimulation and postparotidectomy facial paresis.

OBJECTIVE: We sought to evaluate the association of intraoperative facial nerve stimulation and postoperative facial nerve paresis/paralysis. STUDY DESIGN AND SETTING: Eighty-nine consecutive patients who underwent parotidectomy by a single surgeon were retrospectively analyzed for age, gender, size of tumor, tumor histology, and intraoperative use of a facial nerve stimulator. RESULTS: Facial paresis developed in 22% (10 of 46) of the patients who were stimulated and 22% (5 of 23) of the nonstimulated patients. These results were not statistically significant (P = 1.0000). There was no permanent paralysis in either group. The tumor type and size and gender and age of the patient did not affect the outcome. CONCLUSION: There was no difference in the incidence of postoperative facial nerve paresis or paralysis between the stimulated and nonstimulated patients. Routine use of a stimulator is not necessary during parotid surgery because its use does not prevent or promote facial nerve injury.

Facial Paralysis↗