Abstract
BackgroundFacial palsy treatment comprises static and dynamic techniques. Among dynamic techniques, local temporalis transposition represents a reliable solution to achieve facial reanimation. The present study describes a modification of the temporalis tendon transfer using a cryopreserved fascia allograft.Case presentationBetween March 2015 and September 2018, seven patients with facial palsy underwent facial reanimation with temporalis tendon transfer and fascia lata allograft. Patients with long-term palsy were considered, and both physical and social functions were evaluated. The mean follow-up time was 21.5 months. No immediate complications were observed. Patients reported improvement in facial symmetry both in static and dynamic. Improvement was noticed also in articulation, eating, drinking, and saliva control. The Facial Disability Index revealed an improvement both in physical function subscale and in the social/well-being function subscale.ConclusionsThis modified orthodromic technique allows to reduce the operative time and the risk of complications connected to the use of autologous tissues. The use of the cryopreserved fascia allografts from cadaveric donors seems to provide promising and long-standing results in the treatment of facial palsy.
Highlights
Facial palsy treatment comprises static and dynamic techniques
The present study describes a modification of the orthodromic technique using a cryopreserved fascia lata allograft
We report seven cases of facial palsy in which increased facial symmetry was achieved, performing a partial temporalis tendon transfer with the use of cryopreserved fascia lata allograft
Summary
This study presents a partial temporalis tendon transfer and the use of cryopreserved fascia lata allograft to treat facial paralysis. The modified orthodromic technique allows reducing the operative time and the risk of complications connected to the use of autologous tissues by removing the need for a second surgical site. This case report suggests how the use of a cryopreserved fascial lata homograft from a cadaveric donor can be a valuable alternative in the treatment of facial palsy providing promising and long-standing esthetical and functional results. We suggest the need for a more scrupulous clinical trial to confirm the results of our investigation
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