Archives of Plastic Surgery

  • 제41권6호
  • /
  • Pages.716-721
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  • 2014
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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An Algorithm to Guide Recipient Vessel Selection in Cases of Free Functional Muscle Transfer for Facial Reanimation

  • Henry, Francis P. (Department of Plastic and Reconstructive Surgery, The Royal Free Hospital) ;
  • Leckenby, Jonathan I. (Department of Plastic and Reconstructive Surgery, The Royal Free Hospital) ;
  • Butler, Daniel P. (Department of Plastic and Reconstructive Surgery, The Royal Free Hospital) ;
  • Grobbelaar, Adriaan O. (Department of Plastic and Reconstructive Surgery, The Royal Free Hospital)
  • 투고 : 2014.07.30
  • 심사 : 2014.10.13
  • 발행 : 2014.11.15
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초록

Background The aim of this study was to review the recipient vessels used in our cases of facial reanimation with free functional muscle transfer and to identify patient variables that may predict when the facial vessels are absent. From this we present a protocol for vessel selection in cases when the facial artery and/or vein are absent. Methods Patients were identified from November 2006 to October 2013. Data was collected on patient demographics, facial palsy aetiology, history of previous facial surgery/trauma and flap/recipient vessels used. A standard operative approach was adopted and performed by a single surgeon. Results Eighty-seven eligible patients were identified for inclusion amongst which 98 hemifaces were operated upon. The facial artery and vein were the most commonly used recipient vessels (90% and 83% of patients, respectively). Commonly used alternative vessels were the transverse facial vein and superficial temporal artery. Those with congenital facial palsy were significantly more likely to lack a suitable facial vein (P=0.03) and those with a history of previous facial surgery or trauma were significantly more likely to have an absent facial artery and vein (P<0.05). Conclusions Our algorithm can help to guide vessel selection cases of facial reanimation with free functional muscle transfer. Amongst patients with congenital facial palsy or in those with a previous history of facial surgery or trauma, the facial vessels are more likely to be absent and so the surgeon should then look towards the transverse facial vein and superficial temporal artery as alternative recipient structures.

키워드

참고문헌

  1. Ghali S, MacQuillan A, Grobbelaar AO. Reanimation of the middle and lower face in facial paralysis: review of the literature and personal approach. J Plast Reconstr Aesthet Surg 2011;64:423-31. https://doi.org/10.1016/j.bjps.2010.04.008
  2. Thompson N. Autogenous free grafts of skeletal muscle. A preliminary experimental and clinical study. Plast Reconstr Surg 1971;48:11-27. https://doi.org/10.1097/00006534-197107000-00004
  3. Harii K, Ohmori K, Torii S. Free gracilis muscle transplantation, with microneurovascular anastomoses for the treatment of facial paralysis. A preliminary report. Plast Reconstr Surg 1976;57:133-43. https://doi.org/10.1097/00006534-197602000-00001
  4. Harrison DH, Grobbelaar AO. Pectoralis minor muscle transfer for unilateral facial palsy reanimation: an experience of 35 years and 637 cases. J Plast Reconstr Aesthet Surg 2012;65:845-50. https://doi.org/10.1016/j.bjps.2012.01.024
  5. Lohn JW, Penn JW, Norton J, et al. The course and variation of the facial artery and vein: implications for facial transplantation and facial surgery. Ann Plast Surg 2011;67:184-8. https://doi.org/10.1097/SAP.0b013e31822484ae
  6. MacQuillan A, Horlock N, Grobbelaar A, et al. Arterial and venous anatomical features of the pectoralis minor muscle flap pedicle. Plast Reconstr Surg 2004;113:872-6. https://doi.org/10.1097/01.PRS.0000105690.74659.95
  7. Niranjan NS. An anatomical study of the facial artery. Ann Plast Surg 1988;21:14-22. https://doi.org/10.1097/00000637-198807000-00003
  8. Koh KS, Kim HJ, Oh CS, et al. Branching patterns and symmetry of the course of the facial artery in Koreans. Int J Oral Maxillofac Surg 2003;32:414-8. https://doi.org/10.1054/ijom.2002.0372
  9. Houseman ND, Taylor GI, Pan WR. The angiosomes of the head and neck: anatomic study and clinical applications. Plast Reconstr Surg 2000;105:2287-313. https://doi.org/10.1097/00006534-200006000-00001
  10. Renshaw A, Whitwell KA, Berger L, et al. The use of color Doppler ultrasound in the assessment of vessels for facial transplantation. Ann Plast Surg 2007;59:82-6. https://doi.org/10.1097/01.sap.0000252066.03494.53
  11. Yang HJ, Gil YC, Lee HY. Topographical anatomy of the transverse facial artery. Clin Anat 2010;23:168-78.
  12. Soikkonen K, Wolf J, Hietanen J, et al. Three main arteries of the face and their tortuosity. Br J Oral Maxillofac Surg 1991;29:395-8. https://doi.org/10.1016/0266-4356(91)90009-T
  13. Chen TH, Chen CH, Shyu JF, et al. Distribution of the superficial temporal artery in the Chinese adult. Plast Reconstr Surg 1999;104:1276-9. https://doi.org/10.1097/00006534-199910000-00006
  14. Bianchi B, Copelli C, Ferrari S, et al. Facial animation with free-muscle transfer innervated by the masseter motor nerve in unilateral facial paralysis. J Oral Maxillofac Surg 2010;68:1524-9. https://doi.org/10.1016/j.joms.2009.09.024
  15. Takushima A, Harii K, Asato H, et al. Neurovascular free-muscle transfer for the treatment of established facial paralysis following ablative surgery in the parotid region. Plast Reconstr Surg 2004;113:1563-72. https://doi.org/10.1097/01.PRS.0000117186.10112.87
  16. Takushima A, Harii K, Asato H, et al. Neurovascular free-muscle transfer to treat facial paralysis associated with hemifacial microsomia. Plast Reconstr Surg 2002;109:1219-27. https://doi.org/10.1097/00006534-200204010-00001
  17. Nahabedian MY, Singh N, Deune EG, et al. Recipient vessel analysis for microvascular reconstruction of the head and neck. Ann Plast Surg 2004;52:148-55. https://doi.org/10.1097/01.sap.0000095409.32437.d4
  18. Takamatsu A, Harashina T, Inoue T. Selection of appropriate recipient vessels in difficult, microsurgical head and neck reconstruction. J Reconstr Microsurg 1996;12:499-507. https://doi.org/10.1055/s-2007-1006622
  19. Shimizu F, Lin MP, Ellabban M, et al. Superficial temporal vessels as a reserve recipient site for microvascular head and neck reconstruction in vessel-depleted neck. Ann Plast Surg 2009;62:134-8. https://doi.org/10.1097/SAP.0b013e318172b91d
  20. Chia HL, Wong CH, Tan BK, et al. An algorithm for recipient vessel selection in microsurgical head and neck reconstruction. J Reconstr Microsurg 2011;27:47-56. https://doi.org/10.1055/s-0030-1267829
  21. Nagata S. A new method of total reconstruction of the auricle for microtia. Plast Reconstr Surg 1993;92:187-201. https://doi.org/10.1097/00006534-199308000-00001
  22. Schusterman MA, Miller MJ, Reece GP, et al. A single center's experience with 308 free flaps for repair of head and neck cancer defects. Plast Reconstr Surg 1994;93:472-8. https://doi.org/10.1097/00006534-199493030-00004
  23. Jones NF, Johnson JT, Shestak KC, et al. Microsurgical reconstruction of the head and neck: interdisciplinary collaboration between head and neck surgeons and plastic surgeons in 305 cases. Ann Plast Surg 1996;36:37-43. https://doi.org/10.1097/00000637-199601000-00008
  24. Podrecca S, Salvatori P, Squadrelli Saraceno M, et al. Review of 346 patients with free-flap reconstruction following head and neck surgery for neoplasm. J Plast Reconstr Aesthet Surg 2006;59:122-9. https://doi.org/10.1016/j.bjps.2005.08.002
  25. Zhao Z, Li S, Xu J, et al. Color Doppler flow imaging of the facial artery and vein. Plast Reconstr Surg 2000;106:1249-53. https://doi.org/10.1097/00006534-200011000-00002

피인용 문헌

  1. Use of the submental vessels for free gracilis muscle transfer for smile reanimation vol.38, pp.10, 2014, https://doi.org/10.1002/hed.24478
  2. Safe and effective use of free tissue transfer for facial reanimation in complex facial palsy vol.42, pp.1, 2014, https://doi.org/10.1007/s00238-018-1465-5