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Updated: Mar 29, 2026

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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
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The Sternohyoid Flap for Facial Reanimation
1The Queen's Head and Neck Institute, John A Burns School of Medicine, University of Hawaii, 130 Punchbowl Street, Honolulu, HI 96813, USA.
Facial Plastic Surgery Clinics of North America
|November 28, 2015
Summary
The sternohyoid muscle offers a viable option for facial reanimation surgery. This study details its application, comparing it favorably to the gracilis flap in early outcomes.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Head and Neck Surgery
Background:
- Facial paralysis presents significant functional and aesthetic challenges.
- Current reconstructive options for facial reanimation include various muscle flaps.
Purpose of the Study:
- To evaluate the sternohyoid muscle as a flap for facial reanimation.
- To outline the surgical technique and assess early clinical results.
- To compare the sternohyoid flap with the gracilis flap.
Main Methods:
- Description of the sternohyoid muscle flap harvest.
- Surgical technique for facial reanimation using the sternohyoid flap.
- Assessment of early clinical outcomes and functional results.
Main Results:
- The sternohyoid flap demonstrates utility in facial reanimation.
- Early clinical outcomes are presented.
- Comparative analysis with the gracilis flap is discussed.
Conclusions:
- The sternohyoid muscle is a potential alternative for facial reanimation.
- Further studies may elucidate its long-term efficacy and advantages.
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