Navigation Links
Minimally invasive technique appears helpful to reanimate facial paralysis
Date:1/17/2011

A procedure involving only one small incision and no major modifications to bone can be used to transpose a tendon and appears helpful in reanimating the lower face after paralysis, according to a report in the January/February issue of Archives of Facial Plastic Surgery, one of the JAMA/Archives journals.

"The primary goal of all facial reanimation protocols is to restore facial movement that is controlled, symmetrical and spontaneous," the authors write as background information in the article. Previously, researchers reported a method of transferring the temporalis tendona tendon attached to the temporalis muscle, a large fan-shaped muscle on the side of the headto reanimate the face. The procedure involved an incision at the temple and surgical dissection of the temporalis muscle.

Kofi D. Boahene, M.D., and colleagues at the Johns Hopkins University School of Medicine, Baltimore, report a case series of 17 consecutive patients with facial paralysis who underwent a minimally invasive temporalis tendon transposition procedure between 2006 and 2008. The technique now involves only one small incision, and the tendon is accessed through the skin folds on the side of the nose or through the mouth.

"All the patients tolerated the procedure well, and none developed procedure-related complications," the authors write. "All the patients achieved improved symmetry at rest and voluntary motion of the oral commissure [corners of the mouth]."

With this technique, directed physical therapy is necessary to achieve the best outcome, the authors note. "The visible movement gained from dynamic muscle transposition does not translate into a spontaneous controlled smile without intensive neuromuscular retraining," they write. The patient first learns and practices a "Mona Lisa" smile, in which the corners of the mouth are elevated but not the upper or lower lip. They then learn to smile by contracting the temporal muscle without moving the jaw.

"Dynamic reanimation after facial paralysis remains challenging but can be achieved in selected patients using the minimally invasive temporalis tendon transposition (MIT3)," the authors conclude. "Although the technique is straightforward and dynamic movement can be demonstrated with intraoperative muscle stimulation, acquisition of desired facial movement requires intensive physiotherapy and a motivated patient."


'/>"/>

Contact: Christen Brownlee
cbrownlee@jhmi.edu
410-955-7832
JAMA and Archives Journals
Source:Eurekalert

Related medicine news :

1. Minimally invasive sports hernia repair may get athletes back in the game faster, study says
2. Study: Mechanomyography to be accurate in detecting nerves during minimally invasive spine surgery
3. Researchers quantify benefits of minimally invasive removal of hard-to-reach tumors
4. Cedars-Sinai study examines regional use of minimally invasive repair of aneurysms
5. Pancreatic cancer: Minimally invasive treatments and possible links to GI diseases
6. Singapore Embraces Minimally Invasive Spinal Surgery
7. 3-D Brain Navigation, Minimally Invasive Surgery Combine to Help Neurosurgeon Remove Tennis Ball-Sized Tumor
8. MRI: Non-invasive diagnostic tool for diagnosing testicular cancer
9. New research shows innovative respiratory stress test can quickly detect significant coronary artery disease in a noninvasive setting
10. PINC trial launched to test new treatment for pre-invasive breast cancer
11. In Coeur d'Alene Idaho, Top Of The Line Aesthetic Treatments And Non-Invasive Laser Technology Can Be Found Only At Advanced Aesthetics
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/4/2016)... , ... December 04, 2016 , ... Are You Concerned ... the most certified and experienced Indoor Air Quality Companies in VA, MD and DC, ... Regulations. , The new mold law in the district of Columbia is ...
(Date:12/2/2016)... Calif. (PRWEB) , ... December 02, 2016 , ... On ... at the Hard Rock Hotel San Diego honoring the 2016 MPN Heroes—eight individuals who ... neoplasms (MPNs) by going above and beyond the standard of care, demonstrating leadership within ...
(Date:12/2/2016)... ... December 02, 2016 , ... Center for Autism and ... of those affected by autism spectrum disorder (ASD) and other developmental disabilities. The group, ... will give parents and other caregivers the opportunity to share stories and advice, seek ...
(Date:12/2/2016)... Beverly Hills, CA (PRWEB) , ... December 02, ... ... and reconstructive surgeon in Beverly Hills, California, will be included in the 2016 ... is given to exceptional professionals based on the amalgamation of their education, experience, ...
(Date:12/2/2016)... ... December 02, 2016 , ... Universal Medical ... systems and the first company to offer robotic imaging to veterinary medicine is ... booth # 941 for the American Association of Equine Practitioners 62nd Annual Convention ...
Breaking Medicine News(10 mins):
(Date:12/2/2016)... Research and Markets has announced the addition of Jain ... and Companies" to their offering. ... , , Drug ... market value of drug delivery technologies and the anticancer drugs are ... to organs involved and the types of cancer as well as ...
(Date:12/2/2016)... 1, 2016  Today, Simpson Healthcare Executives, a global ... being selected as winners of multiple awards at the ... at the PLATINUM level, Blue Zones Menu at the ... GOLD Level, and our proprietary 3ConneX Platform at the ... Executives, we are excited to showcase our new Platinum ...
(Date:12/2/2016)... 2, 2016  UCB is pleased to announce that 12 scientific ... 70 th American Epilepsy Society (AES) Annual Meeting, which ... , USA. 1-12 Data being ... of VIMPAT ® (lacosamide) CV and BRIVIACT ® ... the current state of the union of epilepsy care and ...
Breaking Medicine Technology: