Lengthening temporalis myoplasty and reduction of the swallowing oral phase dysfunction in facial palsy patients

Facial palsy can cause dysfunction in the oral phase of swallowing. Lengthening temporalis myoplasty is a widely used technique for correction of facial asymmetry in facial palsy. The aim of this study was to determine whether lengthening temporalis myoplasty could reduce the dysfunction in the oral...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2019-07, Vol.72 (7), p.1157-1163
Main Authors: Croisé, Benjamin, Paré, Arnaud, Marmouset, Franck, Bregeaut, Paul, Joly, Aline, Laure, Boris
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Child
Deglutition - physiology
Deglutition Disorders - etiology
Deglutition Disorders - surgery
Dysphagia
Facial paralysis
Facial Paralysis - physiopathology
Facial Paralysis - surgery
Female
Follow-Up Studies
Humans
Lengthening temporalis myoplasty
Life Sciences
Male
Middle Aged
Prospective Studies
Reconstructive Surgical Procedures - methods
Swallowing dysfunction
Temporal Muscle - surgery
Treatment Outcome
Young Adult
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Summary:Facial palsy can cause dysfunction in the oral phase of swallowing. Lengthening temporalis myoplasty is a widely used technique for correction of facial asymmetry in facial palsy. The aim of this study was to determine whether lengthening temporalis myoplasty could reduce the dysfunction in the oral phase of swallowing in patients with facial palsy. This prospective study enrolled 13 patients undergoing lengthening temporalis myoplasty. Lip continence, bolus residue, and perceived disability before surgery and at 3 months and 6 months after surgery were compared. Lip force was evaluated with a manometric test and drooling with a self-administered questionnaire. Bolus residue was assessed visually. Perceived disability was evaluated using a self-administered questionnaire. Lip force improved significantly (from 58.23 ± 23.35 mmHg to 91.15 ± 18.36 mmHg; p = 0.001). Drooling showed a corresponding reduction, with the score decreasing from 4.31 ± 1.8 to 3 ± 1.41; p = 0.025. A decrease in bolus residue was also noted; the score decreased from 1.39 ± 0.77 to 0.46 ± 0.66; p 
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2019.02.027