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Related Experiment Video

Updated: Jul 17, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

Published on: March 1, 2015

Dynamic graciloplasty: a small and salutary experience.

W H Isbister¹, M Hubler

¹Department of Surgery, King Faisal Specialits Hospital and Research Center, Riyadh, Saudi Arabia.

Annals of Saudi Medicine

|February 1, 2007

Summary

Dynamic graciloplasty improved anal sphincter pressures and reduced bowel frequency in select patients with incontinence. High patient cooperation is crucial for successful outcomes in specialized centers.

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Area of Science:

Colorectal Surgery
Pelvic Floor Reconstruction
Medical Device Technology

Background:

The Colorectal Unit participated in the first international multicenter trial of dynamic graciloplasty.
This paper details specific complications and challenges encountered in Saudi Arabia.

Purpose of the Study:

To evaluate the efficacy and safety of dynamic graciloplasty for generalized anal sphincter weakness.
To document the unique experiences and challenges of the procedure in a Saudi Arabian context.

Main Methods:

Patients with anal sphincter weakness underwent manometric examination.
Dynamic graciloplasty involved gracilis muscle transposition, pulse generator implantation, and electrode insertion.
A magnetic control system allowed for controlled defecation, with 3-monthly follow-ups.

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Last Updated: Jul 17, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

Published on: March 1, 2015

Main Results:

Four out of five patients showed improved resting and squeeze pressures post-implantation.
Two patients maintained satisfactory function for 5-6 years, with a 50% reduction in bowel frequency.
Complications included wound infection, lead avulsion, and issues related to patient compliance and scar tissue.

Conclusions:

Dynamic graciloplasty requires significant patient cooperation for successful management of refractory anal incontinence.
The procedure should be offered in specialized centers equipped to handle its complexities.