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Related Experiment Video

Updated: Jun 5, 2026

Surgical Approach to Full Soft Tissue Face Allograft Procurement for Vascularized Composite Allotransplantation
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Surgical Approach to Full Soft Tissue Face Allograft Procurement for Vascularized Composite Allotransplantation

Published on: December 30, 2025

Reconstruction and Facial Reanimation After Temporal Bone Resection: A Multi-Institution Experience.

John F Ryan1, Stephen P Hadford2, Jason C Nellis1

  • 1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Head & Neck
|June 4, 2026
PubMed
Summary

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Optimizing Radiography Utilization: Multidisciplinary Expert Consensus Recommendations Endorsed by the Society of Academic Bone Radiologists, Society of Skeletal Radiology, American Society of Emergency Radiology, Orthopaedic Trauma Association, American Academy of Emergency Medicine, and American Rhinologic Society.

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National Characterization of Bell's Palsy Management in the Emergency Department 2006 to 2022.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2026
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Temporal patterns of facial nerve palsy after microsurgical resection of vestibular schwannoma: immediate vs. delayed onset, management, and outcomes.

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Facial plastic surgery & aesthetic medicine·2026

Temporal bone resection (TBR) can lead to significant defects and facial nerve damage. Advanced T stage and prior resections are linked to the need for free flap reconstruction in TBR patients.

Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Plastic and Reconstructive Surgery

Background:

  • Temporal bone resection (TBR) is a surgical procedure that can result in extensive defects.
  • Facial nerve sacrifice is a potential complication of TBR, impacting patient function and aesthetics.

Purpose of the Study:

  • To analyze the reconstructive techniques and outcomes following temporal bone resection.
  • To identify factors associated with specific reconstruction methods and complications.

Main Methods:

  • A retrospective review was conducted on 140 adult patients who underwent TBR between 2008 and 2019.
  • Data collected included the extent of resection, reconstruction methods (free flaps, regional flaps, cervicofacial flaps), complications, and facial nerve management.
Keywords:
facial paralysisfacial reanimationmicrovascular reconstructionreconstructive surgerytemporal bone resection

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

  • Free flaps were the most common reconstruction method (n=72), particularly for advanced T stage (OR=1.38) and prior resections (OR=2.34).
  • Complications included wound dehiscence (n=20) and infection (n=15), with smoking history associated with wound complications (OR=1.23).
  • Facial nerve sacrifice occurred in 47 patients, with various reanimation techniques employed.

Conclusions:

  • Advanced T stage and prior resections are significant predictors for free flap reconstruction after TBR.
  • Understanding these associations can help optimize surgical planning and patient selection for reconstructive procedures.