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Facial Reanimation, Bell's Palsy & Smile Surgery2018

Free Gracilis Transfer and Static Facial Suspension for Midfacial Reanimation in Long-Standing Flaccid Facial Palsy

Jowett N, Hadlock TA

Otolaryngol Clin North Am

What Is This Study About?

This paper presents a combined approach to treating long-standing flaccid facial paralysis using free gracilis muscle transfer for dynamic smile restoration plus static facial suspension for overall facial support. The dual approach addresses both movement and resting facial symmetry.

Key Findings

  • Combines dynamic muscle transfer with static support techniques for comprehensive reanimation
  • Addresses both smile restoration and resting facial symmetry in a single plan
  • Optimized for patients with long-standing flaccid (non-recovering) facial paralysis

What This Means for Patients

Patients with long-standing facial paralysis benefit from a comprehensive approach that restores both active smile and resting facial position, rather than addressing only one aspect.

Citation & Links

Citation: Jowett N, Hadlock TA. Otolaryngol Clin North Am. 2018 Dec; 51(6):1129-1139.

PMID: 30104040