Free Neurovascularized Muscle Transfer in Facial Reanimation of Long-standing Facial Palsy Patients

Sohag University20 enrolled

Overview

The use of free Neurovascularized muscles like free latissimus and gracillis muscles for reanimation of long-standing facial palsy patients using the hypoglossal nerve for innervating these muscles

The investigators need to know which of the two muscles is better functionally and aesthetically in facial reanimation of patients with facial paralysis of more than one year duration.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Facial Paralysis

Interventions

Facial reanimation surgery by free muscle trasfer.PROCEDURE

Muscle flap harvesting from the back or from the thigh to be insetted to the paralyzed side of the face with microvascular anastomosis of the muscle pedicle to facial artery and vein.

Eligibility

Sex: ALLHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * All patients with facial paralysis more than one year what ever the cause. Exclusion Criteria: * patients with uncontrolled diabetes.

Outcomes

Primary Outcomes

Change in smile excursion with the two muscles in the paralyzed side from the pre operative state.

We will use SMILE system of Bray et al for assessment.

Time frame: One year post operatively.

Central Contacts

Ahmed Saber, Master

CONTACT

01005795166 ahmed.osman@med.sohag.edu.eg

Data from ClinicalTrials.gov

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