Facial Paralysis
Conditions
Brief summary
The use of free Neurovascularized muscles like free latissimus and gracillis muscles for reanimation of long-standing facial palsy patients using the hypoglossal nerve for innervating these muscles
Detailed description
The investigators need to know which of the two muscles is better functionally and aesthetically in facial reanimation of patients with facial paralysis of more than one year duration.
Interventions
PROCEDUREFacial reanimation surgery by free muscle trasfer.
Muscle flap harvesting from the back or from the thigh to be insetted to the paralyzed side of the face with microvascular anastomosis of the muscle pedicle to facial artery and vein.
Sponsors
Sohag University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* All patients with facial paralysis more than one year what ever the cause.
Exclusion criteria
* patients with uncontrolled diabetes.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in smile excursion with the two muscles in the paralyzed side from the pre operative state. | One year post operatively. | We will use SMILE system of Bray et al for assessment. |
Contacts
Primary ContactAhmed Saber, Master
Outcome results
None listed