Efficacy of retrograde innervation through the distal stump of the thoracodorsal nerve in single-stage neurovascular latissimus dorsi transfer for facial reanimation: A retrospective analysis of 30 cases

Yoo, Hyang Keun; Choi, Jinil; Jin, Ung-Sik; Kwon, Sung Tack; Chang, Hak

doi:10.1016/j.jcms.2022.07.007

Cited by 3 publications

(1 citation statement)

References 21 publications

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“…Innervated latissimus dorsi myocutaneous flap grafts are often used as dynamic reconstructive materials for rectus abdominis defects, facial nerve paralysis, and posttraumatic brachial plexus palsy. [1][2][3] Although the latissimus dorsi flap can adequately cover trapezius muscle defects and is useful as a pedicled flap, there are no reports of changing the innervation to the accessory nerve and restoring the original motor function. We report a case in which the upper trapezius muscle was completely resected after removal of a malignant tumor, and we reconstructed it with a pedicled latissimus dorsi muscle flap with the accessory nerve as the nerve source, restoring favorable motor function.…”

Section: Introductionmentioning

confidence: 99%

Dynamic Reconstruction Using Accessory-innervated Pedicled Latissimus Dorsi Flap for Upper Trapezius Muscle Defect

Fujioka,

Koga

2024

Plastic and Reconstructive Surgery - Global Open

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Summary: The upper part of the trapezius muscle attaches to the acromion and elevates the shoulder, so a defect in the trapezius muscle greatly impairs shoulder-brachial movement. We encountered a case in which the upper trapezius muscle was completely resected due to myxofibrosarcoma that occurred in the upper part of the left trapezius muscle, and reconstruction was performed using a pedicled latissimus dorsi flap with the accessory nerve transferred, resulting in favorable motor function. A 74-year-old woman developed myxofibrosarcoma in her left neck 1 year and 4 months ago, and underwent two surgical excisions at a nearby hospital. However, two months prior, she relapsed again, and was referred to our hospital, where she underwent submandibular lymph node dissection, wide tumor resection, and reconstruction using a latissimus dorsi flap. For latissimus dorsi myocutaneous flap transfer, the stump of the thoracodorsal nerve and accessory nerve were anastomosed to facilitate nerve transfer. Four months after surgery, she was able to raise her shoulder, and surface electromyography showed potentials comparable to her unaffected side. The innervated latissimus dorsi myocutaneous flap is frequently used for dynamic reconstruction of facial, brachialis, rectus abdominis, and deltoid muscles, but this is the first case report describing its use for dynamic reconstruction of the trapezius muscle.

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Section: Introductionmentioning

confidence: 99%

Dynamic Reconstruction Using Accessory-innervated Pedicled Latissimus Dorsi Flap for Upper Trapezius Muscle Defect

Fujioka,

Koga

2024

Plastic and Reconstructive Surgery - Global Open

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Restoring the spontaneous smile through free functional muscle transfer. A systematic review and meta-analysis of the last twenty years’ experience

Bayezid,

Morkuzu,

Karabulut

et al. 2024

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Muscle transposition and free muscle transfer in facial nerve reanimation

Jones,

Taylor,

AL Afif

2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review This review highlights recent advances in facial reanimation surgery particularly related to muscle transposition and free functional muscle transfer (FFMT). Recent findings FFMT and muscle transposition are mainstays in the treatment of chronic facial paralysis. Recent literature evaluates single versus dual innervated FFMT, reanimation of the periocular region and lower lip depressors, and indications for such methods over gold standard FFMT techniques. New donor sites for muscle transposition and FFMT are also described. Summary Gracilis FFMT (GFMT) continues to be the gold standard in dynamic facial reanimation for patients with chronic facial paralysis. Muscle transposition should be considered in older patients, those medically unfit for long operative procedures, and individuals who prefer more immediate results. With respect to FFMT, described nerve coaptation patterns, surgical stages, and donor muscle choice vary. Standardization of data reporting and outcome measures is needed in future studies.

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Efficacy of retrograde innervation through the distal stump of the thoracodorsal nerve in single-stage neurovascular latissimus dorsi transfer for facial reanimation: A retrospective analysis of 30 cases

Cited by 3 publications

References 21 publications

Dynamic Reconstruction Using Accessory-innervated Pedicled Latissimus Dorsi Flap for Upper Trapezius Muscle Defect

Dynamic Reconstruction Using Accessory-innervated Pedicled Latissimus Dorsi Flap for Upper Trapezius Muscle Defect

Restoring the spontaneous smile through free functional muscle transfer. A systematic review and meta-analysis of the last twenty years’ experience

Muscle transposition and free muscle transfer in facial nerve reanimation

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