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Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Facial Paralysis, Modification to Labbé Technique.

J M García Y Sánchez1,2, J A Reynaga Martínez3, C L Gómez Rodríguez4

  • 1Maxillofacial Surgery, National Medical Center Century XXI, Specialty Hospital "Dr. Bernardo Sepúlveda, Mexican Institute of Social Security (IMSS), México City, Mexico.

Journal of Maxillofacial and Oral Surgery
|April 11, 2022
PubMed
Summary
This summary is machine-generated.

Modified Labbé technique offers excellent results for permanent facial paralysis. This surgical approach improves facial symmetry, muscle tone, and restores the ability to smile.

Keywords:
Facial paralysisLabbéModification to Labbé techniqueModificationsParalysisTechniqueTemporal

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Area of Science:

  • Plastic Surgery
  • Neurosurgery
  • Otolaryngology

Background:

  • Facial paralysis significantly impacts patients functionally, emotionally, and aesthetically.
  • Various treatment techniques exist, with Labbé's technique noted for its remarkable outcomes.
  • This study focuses on Labbé's technique for treating facial paralysis.

Purpose of the Study:

  • To present modifications of the Labbé technique for easier execution.
  • To evaluate the efficacy of the modified Labbé technique in treating facial paralysis.
  • To demonstrate improved surgical outcomes and patient quality of life.

Main Methods:

  • Presentation of three cases of facial paralysis (trauma, surgical, infectious).
  • Introduction of four modifications to the Labbé technique: trans-zygomatic oblique osteotomy, descending coronoid osteotomy, radiated suture fixation, and orbicularis muscle fixation.
  • Surgical procedures and post-operative results were documented.

Main Results:

  • The proposed modifications facilitate a better surgical technique.
  • Favorable results were observed in the treated cases.
  • The modified technique demonstrated effectiveness in addressing facial paralysis.

Conclusions:

  • The modified Labbé technique yields excellent results for permanent facial paralysis.
  • Improvements include enhanced facial symmetry, reduced salivary incontinence, and restored facial tone.
  • Patients regain facial movement, including the ability to smile, and improved speech.