Combination Treatment with Depressor Anguli Oris Myectomy and Pedicled Buccal Fat Pad Flap for Sequelae of Facial Paralysis: Case Reports
Facial paralysis sequelae result in functional and cosmetic deficits. Myectomy for facial contractures has been reported, and recently, selective myectomy of the smile antagonists (depressor anguli oris [DAO]) for perioral synkinesis has gained attention. Although less invasive, this approach can le...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
|
| Series: | Archives of Plastic Surgery |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2631-4203 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849332589775552512 |
|---|---|
| author | Ko Nakao Eri Matoba Hisashi Sakuma |
| author_facet | Ko Nakao Eri Matoba Hisashi Sakuma |
| author_sort | Ko Nakao |
| collection | DOAJ |
| description | Facial paralysis sequelae result in functional and cosmetic deficits. Myectomy for facial contractures has been reported, and recently, selective myectomy of the smile antagonists (depressor anguli oris [DAO]) for perioral synkinesis has gained attention. Although less invasive, this approach can lead to postoperative depressed deformities of myectomy site. We report two cases of facial nerve paralysis. In one case, DAO myectomy was performed for synkinesis with upper lip levator muscles. In the other, the DAO and depressor labii inferioris were myectomized for facial contractures centered on the lower lip. A pedicled buccal fat pad flap was elevated to cover the myectomy defect, preventing postoperative depressed deformity. One year postoperatively, no depressed deformities were observed; lower lip symmetry and oral commissure movement improved, achieving a natural smile. As the procedure involves transfer of vascularized blood-rich buccal fat, the risk of postoperative induration and contracture is lower than that with fat injections. |
| format | Article |
| id | doaj-art-4bfa33ebeec44e15a260852937ad73d8 |
| institution | Kabale University |
| issn | 2234-6163 2234-6171 |
| language | English |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj-art-4bfa33ebeec44e15a260852937ad73d82025-08-20T03:46:09ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-617110.1055/a-2631-4203Combination Treatment with Depressor Anguli Oris Myectomy and Pedicled Buccal Fat Pad Flap for Sequelae of Facial Paralysis: Case ReportsKo Nakao0Eri Matoba1Hisashi Sakuma2Department of Plastic and Reconstructive Surgery, Tokyo Dental College Ichikawa General Hospital, Ichikawa, JapanDepartment of Plastic and Reconstructive Surgery, Tokyo Dental College Ichikawa General Hospital, Ichikawa, JapanPlastic and Reconstructive Surgery, Tokyo Dental College Ichikawa General HospitalFacial paralysis sequelae result in functional and cosmetic deficits. Myectomy for facial contractures has been reported, and recently, selective myectomy of the smile antagonists (depressor anguli oris [DAO]) for perioral synkinesis has gained attention. Although less invasive, this approach can lead to postoperative depressed deformities of myectomy site. We report two cases of facial nerve paralysis. In one case, DAO myectomy was performed for synkinesis with upper lip levator muscles. In the other, the DAO and depressor labii inferioris were myectomized for facial contractures centered on the lower lip. A pedicled buccal fat pad flap was elevated to cover the myectomy defect, preventing postoperative depressed deformity. One year postoperatively, no depressed deformities were observed; lower lip symmetry and oral commissure movement improved, achieving a natural smile. As the procedure involves transfer of vascularized blood-rich buccal fat, the risk of postoperative induration and contracture is lower than that with fat injections.http://www.thieme-connect.de/DOI/DOI?10.1055/a-2631-4203 |
| spellingShingle | Ko Nakao Eri Matoba Hisashi Sakuma Combination Treatment with Depressor Anguli Oris Myectomy and Pedicled Buccal Fat Pad Flap for Sequelae of Facial Paralysis: Case Reports Archives of Plastic Surgery |
| title | Combination Treatment with Depressor Anguli Oris Myectomy and Pedicled Buccal Fat Pad Flap for Sequelae of Facial Paralysis: Case Reports |
| title_full | Combination Treatment with Depressor Anguli Oris Myectomy and Pedicled Buccal Fat Pad Flap for Sequelae of Facial Paralysis: Case Reports |
| title_fullStr | Combination Treatment with Depressor Anguli Oris Myectomy and Pedicled Buccal Fat Pad Flap for Sequelae of Facial Paralysis: Case Reports |
| title_full_unstemmed | Combination Treatment with Depressor Anguli Oris Myectomy and Pedicled Buccal Fat Pad Flap for Sequelae of Facial Paralysis: Case Reports |
| title_short | Combination Treatment with Depressor Anguli Oris Myectomy and Pedicled Buccal Fat Pad Flap for Sequelae of Facial Paralysis: Case Reports |
| title_sort | combination treatment with depressor anguli oris myectomy and pedicled buccal fat pad flap for sequelae of facial paralysis case reports |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2631-4203 |
| work_keys_str_mv | AT konakao combinationtreatmentwithdepressoranguliorismyectomyandpedicledbuccalfatpadflapforsequelaeoffacialparalysiscasereports AT erimatoba combinationtreatmentwithdepressoranguliorismyectomyandpedicledbuccalfatpadflapforsequelaeoffacialparalysiscasereports AT hisashisakuma combinationtreatmentwithdepressoranguliorismyectomyandpedicledbuccalfatpadflapforsequelaeoffacialparalysiscasereports |