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The use of neuromuscular free autografts with microneural anastomosis to restore elevation to the paralysed angle of the mouth in cases of unilateral facial paralysis

With an analysis of late results of muscle grafts in the treatment of 103 cases of facial hemiparesis

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Summary

A new method is described for the correction of paralysis of the elevator muscles of the angle of the mouth in cases of unilateral facial paresis, by transplanting skeletal muscle as a free graft together with its motor nerve of supply, the latter being anastomosed to normal filaments of the facial nerve on the uninvolved side of the face, using micro-surgical technique. The results in twelve patients treated over a period of one year, are encouraging and are being given continuing trial.

The late results of free autogenous skeletal muscle grafts in restoring movement to the eyelids and mouth regions in 103 cases of unilateral facial paralysis, involving 157 grafts, are presented.

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Authors and Affiliations

  1. The Middlesex Hospital, London

    Noel Thompson & E. H. Gustavson

  2. Mount Vernon Centre for Plastic Surgery, Northwood, Middlesex, England

    Noel Thompson & E. H. Gustavson

Authors
  1. Noel Thompson
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  2. E. H. Gustavson
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Thompson, N., Gustavson, E.H. The use of neuromuscular free autografts with microneural anastomosis to restore elevation to the paralysed angle of the mouth in cases of unilateral facial paralysis. Chir Plastica 3, 165–174 (1976). https://doi.org/10.1007/BF00274290

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  • DOI: https://doi.org/10.1007/BF00274290

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