Lengthening temporalis myoplasty for facial palsy reanimation after parotid surgery
AIM OF THE STUDY: Share our experience and our results of lengthening temporalis myoplasty (LTM) for facial palsy reanimation after parotid surgery.
MATERIALS AND METHODS: Study of 15 patients after they had had a lengthening temporalis myoplasty, in the same time or after a non conservative parotidectomy of facial nerve. 10 patients suffered from a parotid malignant tumor, one had a jugal epidermoid skin carcinoma invading the parotid, 2 patients had a facial palsy after removal of pleomorphic adenoma recurrence and two patients had a facial nerve schwannoma. 8 patients had a LTM surgery in the same time of the parotid tumoral removal.
RESULTS: No recurrence was observed on the 11 patients who had a carcinoma (average follow up: 27 months). The LTM surgery enabled us to obtain good results at rest for 14 patients (93%) and an intermediate result for one person. The ability to smile was described as good for 10 patients (66.6%), intermediate for 4 of them (26.6%) and unsatisfying for 1 person (6,6%). In the group rehabilitation, the results observed are similar, for the patients who had one or two surgical steps. In 3 cases, we noticed an infectious complication, which led us to operate again. In the 8 cases within lengthening was performed in the same time as parotidectomy, there was no additionnal surgical difficulty.
CONCLUSION: LTM surgery is an efficient method of rehabilitation. If possible, it should be performed in the same time as tumor removal. As the operational places are different, tumor checking-up and observation are not disturbed by this kind of rehabilitation.
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2013 |
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| Erschienen: |
2013 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:134 |
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| Enthalten in: |
Revue de laryngologie - otologie - rhinologie - 134(2013), 4-5 vom: 04., Seite 259-65 |
| Sprache: |
Französisch |
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| Weiterer Titel: |
Réhabilitation de la face paralysée au cours de la chirurgie parotidienne. intérêt de la myoplastie d'allongement du muscle temporal |
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| Beteiligte Personen: |
Foirest, C [VerfasserIn] |
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| Themen: |
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| Anmerkungen: |
Date Completed 10.11.2014 Date Revised 25.09.2014 published: Print Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM242191592 |
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| 245 | 1 | 0 | |a Lengthening temporalis myoplasty for facial palsy reanimation after parotid surgery |
| 246 | 3 | 3 | |a Réhabilitation de la face paralysée au cours de la chirurgie parotidienne. intérêt de la myoplastie d'allongement du muscle temporal |
| 264 | 1 | |c 2013 | |
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| 500 | |a Date Completed 10.11.2014 | ||
| 500 | |a Date Revised 25.09.2014 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a AIM OF THE STUDY: Share our experience and our results of lengthening temporalis myoplasty (LTM) for facial palsy reanimation after parotid surgery | ||
| 520 | |a MATERIALS AND METHODS: Study of 15 patients after they had had a lengthening temporalis myoplasty, in the same time or after a non conservative parotidectomy of facial nerve. 10 patients suffered from a parotid malignant tumor, one had a jugal epidermoid skin carcinoma invading the parotid, 2 patients had a facial palsy after removal of pleomorphic adenoma recurrence and two patients had a facial nerve schwannoma. 8 patients had a LTM surgery in the same time of the parotid tumoral removal | ||
| 520 | |a RESULTS: No recurrence was observed on the 11 patients who had a carcinoma (average follow up: 27 months). The LTM surgery enabled us to obtain good results at rest for 14 patients (93%) and an intermediate result for one person. The ability to smile was described as good for 10 patients (66.6%), intermediate for 4 of them (26.6%) and unsatisfying for 1 person (6,6%). In the group rehabilitation, the results observed are similar, for the patients who had one or two surgical steps. In 3 cases, we noticed an infectious complication, which led us to operate again. In the 8 cases within lengthening was performed in the same time as parotidectomy, there was no additionnal surgical difficulty | ||
| 520 | |a CONCLUSION: LTM surgery is an efficient method of rehabilitation. If possible, it should be performed in the same time as tumor removal. As the operational places are different, tumor checking-up and observation are not disturbed by this kind of rehabilitation | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Gatignol, P |e verfasserin |4 aut | |
| 700 | 1 | |a Bernat, I |e verfasserin |4 aut | |
| 700 | 1 | |a Lamas, G |e verfasserin |4 aut | |
| 700 | 1 | |a Tankéré, F |e verfasserin |4 aut | |
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