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Related Experiment Video

Updated: May 9, 2025

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
19:53

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

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Free Muscle Flap Transfer for Facial Reanimation: A Systematic Review and Meta-Analysis.

Jiarui Zhang1,2,3, Xingchen Ye1, Yingzhen Zhang1

  • 1Department of Oromaxillofacial-Head and Neck Surgery, School and Hospital of Stomatology, Liaoning Provincial Key Laboratory of Oral Diseases, China Medical University, Shenyang, China.

The Laryngoscope
|May 1, 2025
PubMed
Summary

Free muscle flap transfer effectively restores facial function after paralysis, significantly improving symmetry and quality of life. Masseteric nerve innervation shows promising results for facial reanimation.

Keywords:
facial nervefacial paralysisfacial reanimationfree flaporal commissure movement length

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Area of Science:

  • Plastic Surgery
  • Neurosurgery
  • Otolaryngology

Background:

  • Facial paralysis significantly impacts quality of life.
  • Free muscle flap transfer is a reconstructive option for facial reanimation.

Purpose of the Study:

  • To summarize free muscle flap types for facial reanimation.
  • To evaluate surgical outcomes and effectiveness of different techniques.

Main Methods:

  • Systematic review and meta-analysis of 48 studies.
  • Included 1747 patients undergoing 1930 free muscle flap transfers.
  • Collected data on surgical details, facial nerve function, symmetry, movement, and quality of life.

Main Results:

  • Statistically significant improvements in facial nerve function, symmetry, movement, and quality of life.
  • 80.30% of flaps achieved favorable overall facial movement.
  • Masseteric nerve innervation was most common and showed best outcomes.

Conclusions:

  • Free muscle flap transfer is a reliable treatment for facial paralysis.
  • Masseteric nerve innervation is supported for optimal results.
  • Flap selection should consider patient-specific anatomical factors and needs.