ArticlePlastic and reconstructive surgery. Global open2018
Blink Restoration in Long-standing Facial Paralysis: Use of Free Neurovascular Platysma Transfer.
Article in Plastic and reconstructive surgery. Global open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Dynamic Eyelid Reanimation in Facial Paralysis: A Systematic Review of Techniques and Outcomes.Plastic and reconstructive surgery. Global open · 2025Article
- Eyelid Reanimation with Free Platysma Graft: Final Stage of Reconstruction after Gunshot Wound to Face.Plastic and reconstructive surgery. Global open · 2022Article
- Single Gracilis Functioning Free Muscle Transplantation for Simultaneous and Combined Reconstruction of Smile and Lagophthalmos in Complete Facial Paralysis.Journal of plastic and reconstructive surgery · 2022Article
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSince 2004, microneurovascular platysma transfer has been used for dynamic eye closure in long-standing facial palsy. The idea was initially presented by Lee and Terzis in 1984 but abandoned owing to its transfer difficulty. This muscle transfer allows forceful closure and blink restoration.
methodsThis study included 24 patients operated between 2004 and 2014 for long-standing facial palsy. In the first step of the procedure, a cross-facial nerve graft was employed to transfer the motor nerve fibers from the normal side to the paralyzed side responsible for eye closure. Simultaneously, a dynamic reanimation of the mouth was conducted. After 9 months, a 4 × 9-cm platysma was transferred on its neurovascular pedicle. Revascularization was performed on the temporal vessels. Nerve coaptation between the cross-facial nerve graft and motor nerve of the platysma was also performed.
resultsTwenty-one (88%) newly reconstructed orbicularis oculis displayed a good to excellent function. In 62% of the patients, a natural appearance and closure of the previously paralyzed eye and a return of spontaneous blinking were observed.
conclusionsCompared with classical techniques (eg, gold weight implantation and temporalis transfer), platysma transfer is the only feasible method of restoring eye closure because of its special architecture and fiber-type distribution.
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Registered trials
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