Flaccid Facial Paralysis Research Articles

Ancillary Procedures in Facial Animation Surgery

Facial animation surgery with neuromuscular transplants has become a standard procedure for the treatment of facial palsies. However, the forehead, periocular complex, nasal base area, and inferior lip are secondary sites that also need to be considered in the complete rehabilitation of a flaccid facial palsy. A total of 136 ancillary procedures were performed in 49 patients between 2003 and 2013 and consisted of eyebrow suspensions (11), upper eyelid loading with a platinum chain (39), inferior palpebral suspension with fascia lata (22), nasal base suspension with fascia lata (26), and botulinum toxin injection (38). Cosmetic results were good and excellent in 30.7% and 63.2% of the procedures, respectively. Functionally, periocular complex rehabilitation and nasal base suspension led to excellent improvements in function in 87.2% and 73.1% of the patients, respectively. The use of ancillary procedures can improve the functional and esthetic results of facial animation surgery.

Highlights of Archives of Facial Plastic Surgery

Archives of Facial Plastic SurgeryVol. 14, No. 4 Free AccessHighlights of Archives of Facial Plastic SurgeryPublished Online:2 Jul 2012AboutSectionsPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail Contemporary Review of RhinoplastyPatrick C. Angelos, MD, and colleagues offer a review of recent advances and trends in primary and functional rhinoplasty. Specific topics addressed in this review include outcomes in functional rhinoplasty and nasal valve repair, outcomes in septal reconstruction, malpositioning of the lower lateral cartilages, nasal tip contouring, osteotomies, grafting materials, and the use of computer imaging.See page 238Perceived Age Change After Aesthetic Facial Surgical Procedures: Quantifying Outcomes of Aging Face SurgeryNitin Chauhan, MD, FRCSC, and colleagues present the results of a retrospective study to quantify the amount of perceived age change that occurs following aesthetic facial surgery, including face- and neck-lift, upper and lower blepharoplasty, and forehead-lift. Preoperative and 6-month postoperative photographs of 60 patients who underwent aesthetic facial surgery were evaluated by blinded raters, who were asked to estimate the subjects' ages. The authors present data on the perceived age change associated with these aesthetic surgical procedures.See page 258Toward a Universal, Automated Facial Measurement Tool in Facial ReanimationTessa A. Hadlock, MD, and Luke S. Urban, MS, describe the use of a novel computer software program designed to provide quantitative measurements of facial anatomic landmarks and facial movement. The authors used this automated tool to analyze facial photographs at rest and with movement of healthy subjects as well as a group of patients with flaccid facial paralysis. Results obtained by the automated software program were compared with those obtained by standard digital photographic analysis using Photoshop. The authors discuss the application of this process to facial nerve rehabilitation.See page 277Biomechanical Properties of the Facial Retaining LigamentsMichael G. Brandt, HBSc, MD, and colleagues present the results of an anatomic study to determine the biophysical properties of osteocutaneous facial retaining ligaments. Ten cadaveric hemifaces were dissected to identify and characterize the orbital, zygomatic, buccomaxillary, and mandibular osteocutaneous ligaments. Measured outcomes are presented, and the authors discuss these findings as they relate to common clinical signs of the aging face.See page 289Madame de Pastoret and Her Son by Jacques Louis David, 1748-1825.See page 304This issue's Highlights were written by Richard J. Wright, MD.FiguresReferencesRelatedDetails Volume 14Issue 4Jul 2012 InformationCopyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.To cite this article:Highlights of Archives of Facial Plastic Surgery.Archives of Facial Plastic Surgery.Jul 2012.235-235.http://doi.org/10.1001/archfaci.2012.668Published in Volume: 14 Issue 4: July 2, 2012PDF download