Maxillofac Plast Reconstr Surg.  2020;42(1):2. 10.1186/s40902-020-0246-9.

Cryopreserved fascia lata allograft use in surgical facial reanimation: a retrospective study of seven cases

Affiliations
  • 1Plastic and Reconstructive Surgery Department, Ca’ Foncello Hospital, 31100 Treviso, Italy
  • 2Fondazione Banca dei Tessuti di Treviso Onlus, Via dell’Ospedale 3, 31100 Treviso, Italy

Abstract

Background
Facial 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 presentation
Between 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.
Conclusions
This 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.

Keyword

Fascia lata; Cryopreservation; Facial palsy; Homograft; Orthodromic technique
Full Text Links
  • MPRS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr