Free Neurovascularized Muscle Transfer in Facial Reanimation of Long-standing Facial Palsy Patients
Not Applicable
Not yet recruiting
- Conditions
- Facial Paralysis
- Interventions
- Procedure: Facial reanimation surgery by free muscle trasfer.
- Registration Number
- NCT05222698
- Lead Sponsor
- Sohag University
- Brief Summary
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
- Detailed Description
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.
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 20
Inclusion Criteria
- All patients with facial paralysis more than one year what ever the cause.
Exclusion Criteria
- patients with uncontrolled diabetes.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Group A Facial reanimation surgery by free muscle trasfer. Segmental free latissimus muscle trasfer to the face. Group B Facial reanimation surgery by free muscle trasfer. Free gracillis muscle trasfer to the face.
- Primary Outcome Measures
Name Time Method Change in smile excursion with the two muscles in the paralyzed side from the pre operative state. One year post operatively. We will use SMILE system of Bray et al for assessment.
- Secondary Outcome Measures
Name Time Method