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Novel outpatient approach to lower lip reanimation using a palmaris longus tendon sling.
- Source :
-
Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale [J Otolaryngol Head Neck Surg] 2011 Dec; Vol. 40 (6), pp. 481-8. - Publication Year :
- 2011
-
Abstract
- Objective: To report a new approach to lower lip reanimation, which can be performed in the outpatient clinic setting.<br />Study Design: Cross-sectional study.<br />Setting: Tertiary and quaternary care academic hospital, Toronto.<br />Subjects and Methods: An evaluation of nine patients with marginal mandibular nerve injury, who underwent harvest of the palmaris longus tendon and static suspension of the lower lip, was performed in the outpatient setting. Outcome measures included subjective self-evaluation of the functional and aesthetic results using the Lip Reanimation Outcomes Questionnaire and postoperative photographic grading of symmetry at rest and during three smile poses. Medical records were reviewed for demographics and complications.<br />Results: Seventy-eight percent of patients reported overall improvements in smiling, oral competence, and speech articulation following tendon transfer. Photographic grading by the judging panel found satisfactory smile symmetry postprocedure.<br />Conclusions: The palmaris longus tendon sling procedure provides an effective, additional option for reanimation of the paralyzed lower lip.
- Subjects :
- Academic Medical Centers
Adult
Aged
Aged, 80 and over
Articulation Disorders diagnosis
Articulation Disorders surgery
Cross-Sectional Studies
Esthetics
Facial Asymmetry diagnosis
Facial Asymmetry surgery
Female
Humans
Male
Middle Aged
Patient Satisfaction
Retrospective Studies
Smiling physiology
Ambulatory Surgical Procedures methods
Lip innervation
Mandibular Nerve
Paralysis surgery
Tendon Transfer methods
Trigeminal Nerve Injuries surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1916-0216
- Volume :
- 40
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
- Publication Type :
- Academic Journal
- Accession number :
- 22420436