Innervation options for gracilis free muscle transfer in facial reanimation

• 作者: Katherine Gossett David Chen Myriam Loyo
• 来源期刊: 整形与美容研究（英文版）
• 年，卷（期）: 2021,（11）
• 所属期刊栏目: Review
• 页码范围: 36-49
• 页数: 14页
• 语种: 英文
• DOI: 10.20517/2347-9264.2021.69

摘要

Gracilis free muscle transfer (GFMT) is considered the gold standard in dynamic smile reanimation in patients with long-standing facial paralysis. There are multiple motor nerves in the head and neck that can be used to provide innervation to the GFMT, either alone or in combination. In this article, we review the literature about these donor nerve options and discuss their advantages and disadvantages in terms of smile excursion, spontaneity, reliability, and timing. Furthermore, we discuss the use of multiple donor nerve sources in dually-innervated GFMT and areas for future investigation.