Assessment of deep plane facelift combined with fascia lata graft for the static treatment of facial palsy: A preliminary report

Addressing facial palsy (FP) presents intricate challenges in achieving natural expressions. Although free functional muscle transfers (FFMT) offer effective smile restoration, age impacts their efficacy. The optimal FFMT age range of 5–55 years is limited by physical fitness, which extends beyond a...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2024-01, Vol.88, p.457-465
Main Authors: La Padula, Simone, Ponzo, Martina, Lombardi, Mariagiovanna, de Gregorio, Ludovica, D’Andrea, Francesco, Coiante, Edoardo, Pensato, Rosita, Hersant, Barbara, Meningaud, Jean Paul
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Bell Palsy
Child
Child, Preschool
Deep plane facelift
EFACE
Face and Neck-Lift Objective Photo-Numerical Assessment Scale
Facial palsy
Facial Paralysis - surgery
Fascia Lata - transplantation
Fascial lata graft
Humans
Middle Aged
Pilot Projects
Prospective Studies
Reproducibility of Results
Rhytidoplasty
Young Adult
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Summary:Addressing facial palsy (FP) presents intricate challenges in achieving natural expressions. Although free functional muscle transfers (FFMT) offer effective smile restoration, age impacts their efficacy. The optimal FFMT age range of 5–55 years is limited by physical fitness, which extends beyond age boundaries. Unilateral FP demands vary; younger patients require dynamic solutions like FFMT, whereas older individuals prioritize public appearance due to baseline distortion. The aim of this study is to describe and to assess a new static technique combining deep plane facelift and fascia lata graft for FP treatment. We conducted a prospective pilot study enrolling unilateral FP patients aged >55 and declining FFMT. Exclusions encompassed prior FP surgery, recent injections, uncontrolled diabetes cognitive deficits, and patients unable to quit smoking. To evaluate this technique, the Glasgow Benefit Inventory (GBI), along with two objective scales, the Face- and Neck-Lift Objective Photo-Numerical Assessment Scale and the eFACE scale, were used. Interrater reliability and intrarater reliability were assessed. Fifteen patients (mean age: 60.9 years) underwent the procedure. Both static and dynamic symmetry significantly improved (p 
ISSN:1748-6815
1878-0539
1878-0539
DOI:10.1016/j.bjps.2023.11.011