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Related Experiment Videos

Facial paralysis reconstruction with Gore-Tex Soft-Tissue Patch.

R J Konior1

  • 1Department of Otolaryngology-Head and Neck Surgery, Loyola University Medical Center, Maywood, IL 60153.

Archives of Otolaryngology--Head & Neck Surgery
|November 1, 1992
PubMed
Summary

Static suspension using expanded polytetrafluoroethylene (Gore-Tex) soft-tissue patches effectively improved facial asymmetries in patients with complete facial paralysis who were not candidates for dynamic reconstruction.

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Area of Science:

  • Plastic Surgery
  • Facial Reconstruction

Background:

  • Dynamic reconstructive procedures are preferred for complete facial paralysis but have contraindications.
  • Static suspension offers a viable alternative when dynamic reconstruction is not feasible.

Purpose of the Study:

  • To evaluate the efficacy of expanded polytetrafluoroethylene (Gore-Tex) soft-tissue patches for static facial suspension.
  • To correct midfacial and perioral asymmetries in patients with complete unilateral facial paralysis.

Main Methods:

  • Eleven patients with complete unilateral facial paralysis and prior facial nerve ablation underwent static suspension using Gore-Tex soft-tissue patches.
  • Patients were not candidates for dynamic facial reconstruction.

Main Results:

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  • All 11 patients demonstrated improvement in midfacial and perioral asymmetries.
  • Complications included one postoperative infection and two cases of suture extrusion.
  • Other complications were primarily technical.

Conclusions:

  • Expanded polytetrafluoroethylene soft-tissue patch suspension is an effective static surgical alternative for correcting facial asymmetries in select patients with complete facial paralysis.
  • This technique provides a reasonable option when dynamic reconstruction is contraindicated.